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Alaska rates for HCPCS 57308

Closure of rectovaginal fistula; transperineal approach, with perineal body reconstruction, with or without levator plication

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,953.20 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.04 / $3,149.19 / $3,476.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,226.69 / $2,226.69 / $2,226.69
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$822.69 / $3,149.19 / $4,503.34
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,622.98 / $4,214.70 / $5,397.34
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,508.75 / $2,910.15 / $4,177.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$822.69 / $3,149.19 / $4,503.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$901.55 / $2,850.00 / $4,232.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,706.36 / $2,672.04 / $4,082.04