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Minnesota 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
$602.56 / $602.56 / $602.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $707.95 / $1,096.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $4,677.35 / $13,182.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,513.56 / $2,398.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $2,398.83 / $5,754.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $2,041.74 / $3,090.30
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $2,344.23 / $4,570.88
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,737.80 / $2,630.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,288.25 / $6,760.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,348.96 / $3,715.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $4,677.35 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,348.96 / $2,630.27