go back

Georgia 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
$536.64 / $4,592.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.64 / $716.51 / $1,708.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,538.99 / $5,842.74 / $14,965.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.51 / $993.83 / $1,730.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.00 / $550.00 / $550.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.94 / $1,102.03 / $1,759.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$654.33 / $850.63 / $1,942.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,369.00 / $4,594.00 / $7,647.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.93 / $916.84 / $1,558.74