go back

Missouri rates for HCPCS 51900

Closure of vesicovaginal fistula, abdominal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $5,389.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$753.89 / $936.59 / $956.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,449.00 / $10,043.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$824.00 / $1,000.93 / $1,621.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$732.82 / $1,184.71 / $2,151.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$791.58 / $1,568.09 / $4,508.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$920.60 / $1,499.67 / $7,254.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,748.00 / $3,502.00 / $6,854.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$858.93 / $1,201.45 / $2,247.54