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Tennessee rates for HCPCS 57305

Closure of rectovaginal fistula; abdominal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,150.00 / $3,329.00 / $7,602.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,417.00 / $2,302.00 / $4,147.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $7,730.66 / $7,997.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $2,665.00 / $4,918.00