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Maryland 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
$4,609.38 / $4,609.38 / $4,609.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.62 / $561.20 / $1,735.35
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$782.48 / $784.81 / $897.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.08 / $879.08 / $1,695.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.65 / $918.56 / $1,470.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.77 / $809.49 / $1,424.93
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.41 / $794.25 / $984.33