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Louisiana 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 / $2,691.53 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $741.31 / $1,096.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $5,888.44 / $9,549.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $851.14 / $1,047.13
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $812.83 / $1,148.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $2,041.74 / $5,888.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $758.58 / $1,202.26