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Missouri 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
$644.25 / $4,261.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.67 / $631.11 / $716.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,490.00 / $10,961.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.70 / $817.14 / $1,226.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.86 / $952.57 / $1,651.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.67 / $966.39 / $3,532.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$684.57 / $1,028.39 / $5,443.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,303.00 / $2,680.00 / $4,433.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.74 / $876.67 / $1,694.46