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Michigan rates for HCPCS 51900

Closure of vesicovaginal fistula, abdominal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,045.63 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$768.90 / $1,045.63 / $1,045.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,940.46 / $4,599.71 / $6,266.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.94 / $849.06 / $1,373.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.92 / $948.00 / $1,684.19
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$837.71 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$837.71 / $931.40 / $1,345.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.66 / $720.60 / $1,078.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,296.00 / $7,849.00 / $9,202.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$902.73 / $1,111.60 / $1,405.19