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New York rates for HCPCS 57305

Closure of rectovaginal fistula; abdominal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,221.26 / $5,164.00 / $11,161.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,100.00 / $7,264.00 / $12,697.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,385.41 / $1,385.41 / $37,499.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,111.61 / $1,111.61 / $7,227.90
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $1,330.00 / $2,553.17
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $1,111.61 / $7,227.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,749.00 / $4,194.00 / $9,300.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,116.36 / $1,116.36 / $2,790.07