go back

Texas rates for HCPCS 51900

Closure of vesicovaginal fistula, abdominal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$921.00 / $3,553.00 / $12,281.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.61 / $869.03 / $1,214.38
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$744.29 / $744.29 / $744.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.76 / $1,382.10 / $5,456.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.16 / $947.12 / $1,319.55
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$732.28 / $732.28 / $732.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$843.81 / $1,108.96 / $1,716.05
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,000.00 / $6,591.41
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,254.95 / $7,254.95 / $7,254.95
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.99 / $1,083.13 / $2,015.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,042.84 / $1,227.34 / $1,443.94
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,206.90 / $1,206.90 / $1,206.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.99 / $1,084.69 / $2,086.04
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$843.81 / $1,125.20 / $1,859.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,634.00 / $4,345.00 / $10,600.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.14 / $944.82 / $1,460.18
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$684.65 / $783.47 / $1,083.00