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Wyoming rates for HCPCS 57308

Closure of rectovaginal fistula; transperineal approach, with perineal body reconstruction, with or without levator plication

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.31 / $672.31 / $672.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,245.00 / $1,494.00 / $2,240.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$844.56 / $1,123.99 / $1,470.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,607.00 / $2,607.00 / $10,877.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$948.20 / $2,057.10 / $2,521.21