go back

Wisconsin rates for HCPCS 57305

Clsr Rectovaginal Fistula Abdominal Approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,052.27 / $1,959.61 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $11,015.00 / $15,810.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,497.00 / $2,917.95 / $4,706.54
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$958.03 / $1,185.77 / $1,872.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,040.54 / $1,927.94 / $7,700.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$989.01 / $1,185.77 / $1,872.52
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,903.85 / $2,846.46 / $3,462.96
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,997.22 / $7,997.22 / $7,997.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00