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Indiana rates for HCPCS 51900

Closure of vesicovaginal fistula, abdominal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$768.90 / $1,386.00 / $14,063.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$768.90 / $820.73 / $1,084.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,800.00 / $11,044.01 / $15,154.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$861.91 / $1,119.00 / $1,544.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$766.40 / $976.78 / $1,127.06
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.37 / $878.37 / $1,127.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$773.22 / $1,080.25 / $1,851.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,932.00 / $8,025.00 / $11,038.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$791.47 / $936.87 / $1,588.73