go back

Oklahoma 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
$1,000.00 / $2,630.27 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $645.65 / $1,230.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,918.31 / $10,964.78 / $17,782.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $794.33 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $831.76 / $977.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,513.56 / $5,754.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $758.58 / $5,495.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $2,951.21 / $5,888.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $691.83 / $977.24