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Arizona rates for HCPCS 51900

Closure of vesicovaginal fistula, abdominal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,474.00 / $7,960.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$779.13 / $840.40 / $4,342.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,598.50 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.34 / $681.78 / $852.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$749.96 / $998.56 / $1,808.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$787.00 / $1,152.06 / $6,063.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$755.28 / $956.94 / $7,254.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $4,545.00 / $7,217.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.80 / $904.39 / $1,575.09