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Idaho rates for HCPCS 51900

Closure of vesicovaginal fistula, abdominal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,422.00 / $4,500.00 / $8,622.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,056.45 / $1,073.75 / $1,869.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,155.99 / $1,415.09 / $1,579.86
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$939.68 / $1,620.93 / $1,981.44
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,323.61 / $1,403.83 / $1,604.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,156.58 / $1,455.07
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.80 / $1,258.80 / $1,544.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,360.00 / $16,762.00 / $17,870.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$858.93 / $1,144.94 / $1,761.19