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New Jersey 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
$623.05 / $5,982.00 / $11,298.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.05 / $644.32 / $1,122.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591.50 / $979.34 / $1,821.99
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$765.68 / $1,040.20 / $1,233.75
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.15 / $693.95 / $1,201.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,879.00 / $5,864.00 / $10,105.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.65 / $851.13 / $1,504.29