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Montana rates for HCPCS 57308

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

Facilitymedian $1,148 · 10th–90th $955–$1,2300%50%10th90th$1,148Professionalmedian $832 · 10th–90th $617–$1,6600%20%10th90th$832$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $776.25 / $2,137.96
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,047.13 / $1,047.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,047.13 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $1,047.13 / $1,047.13
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,096.48 / $1,148.15 / $1,288.25
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,096.48 / $1,148.15 / $1,288.25
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $912.01 / $1,202.26
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $707.95 / $1,479.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $1,096.48 / $1,819.70