go back

New Mexico 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
$654.41 / $7,838.38 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.04 / $651.26 / $1,089.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.66 / $965.08 / $1,208.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $191.81 / $1,032.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$638.77 / $812.98 / $931.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.89 / $965.08 / $1,208.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,834.00 / $6,599.00 / $7,158.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$752.70 / $1,044.99 / $1,517.59