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Maine rates for HCPCS 51900

Closure of vesicovaginal fistula, abdominal approach

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,057.04 / $1,057.04 / $1,180.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,065.14 / $15,647.20 / $17,644.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$996.15 / $1,095.76 / $1,688.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$983.75 / $1,233.18 / $1,766.75
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$918.34 / $1,182.75 / $1,814.41
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,057.04 / $1,057.04 / $1,180.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$838.98 / $1,182.75 / $1,636.53