go back

Texas rates for HCPCS 57305

Clsr Rectovaginal Fistula Abdominal Approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$945.00 / $3,669.00 / $12,040.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$909.55 / $1,527.23 / $5,295.66
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$878.59 / $878.59 / $878.59
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $7,730.66
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$917.47 / $1,173.58 / $2,088.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$921.63 / $1,198.11 / $2,138.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.00 / $2,064.00 / $8,759.00