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Repair Of A Rectum-To-Vagina Opening

South Dakota rates for HCPCS 57308

Closes an abnormal opening between the rectum and the vagina, working through an incision in the perineum, the area of skin and muscle between the two. The tissue block separating vagina from rectum is rebuilt at the same time, and the supporting pelvic floor muscles may be brought back together. It is most often needed after a difficult childbirth tear, prior surgery, radiation, or inflammatory bowel disease.

Facilitymedian $832 · 10th–90th $603$4,3650%20%10th90th$832Professionalmedian $776 · 10th–90th $562$1,7380%10%20%10th90th$776$1.0K$2.0K$5.0K

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
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$660.69
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,548.82
Typical High
$1,905.46
Medica
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,023.29
Typical High
$1,698.24
Medica
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$1,174.90
Typical High
$5,495.41
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,445.44
Typical High
$1,513.56
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,348.96
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,096.48
Typical High
$1,288.25
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$2,691.53
United
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$1,258.93
Typical High
$1,778.28
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,479.11
Typical High
$1,548.82