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Louisiana rates for HCPCS 51900

Closure of vesicovaginal fistula, abdominal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.00 / $2,418.00 / $4,392.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.55 / $1,294.59 / $1,388.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,690.83 / $6,503.84 / $10,923.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.34 / $1,161.93 / $1,498.44
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.45 / $1,063.54 / $1,429.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $3,238.00 / $8,257.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.18 / $1,057.26 / $1,731.48