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South Carolina 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
$1,778.28 / $16,595.87 / $26,302.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $676.08 / $1,513.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,220.18 / $11,220.18 / $11,220.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $794.33 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $831.76 / $1,380.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $891.25 / $1,513.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $10,964.78 / $16,982.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $758.58 / $1,230.27