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Iowa 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
$812.83 / $5,370.32 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $676.08 / $1,659.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,548.82 / $1,905.46
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,174.90 / $2,238.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,445.44 / $6,025.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,258.93 / $5,495.41
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,513.56 / $2,137.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,778.28 / $1,778.28
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $1,258.93 / $1,698.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $4,897.79 / $7,585.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,023.29 / $1,905.46
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,258.93 / $1,479.11