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Michigan rates for HCPCS 57305

Clsr Rectovaginal Fistula Abdominal Approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,169.64 / $4,933.00 / $5,757.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,400.59 / $5,129.04 / $6,949.04
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$968.57 / $4,933.00 / $5,757.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,906.00 / $4,645.00 / $6,327.00