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Alaska rates for HCPCS 51900

Closure of vesicovaginal fistula, abdominal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,440.66 / $9,774.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,859.90 / $3,859.90 / $5,353.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,835.68 / $2,835.68 / $2,835.68
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,037.30 / $3,859.90 / $5,519.66
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,005.48 / $5,208.00 / $6,782.69
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,100.00 / $3,596.00 / $5,258.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,037.30 / $3,859.90 / $5,519.66
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,131.45 / $3,570.00 / $5,311.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,088.69 / $3,402.81 / $5,239.72