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West Virginia rates for HCPCS 57305

Closure of rectovaginal fistula; abdominal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$927.51 / $927.51 / $2,600.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,027.30 / $1,150.08 / $1,253.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,111.61 / $1,111.61 / $1,111.61