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Michigan rates for HCPCS 57305

Closure of rectovaginal fistula; abdominal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $4,897.79 / $5,754.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $912.01 / $1,445.44
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $4,897.79 / $6,918.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $3,890.45 / $6,025.60