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Maine rates for HCPCS 57308

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $776.25 / $1,778.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,782.79 / $18,620.87 / $25,118.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $933.25 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $851.14 / $1,479.11
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $954.99 / $1,318.26
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $870.96 / $1,819.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $912.01 / $1,380.38