go back

Utah rates for HCPCS 51900

Clsr Vesicovaginal Fistul Aabdl Approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,159.82 / $4,387.00 / $8,344.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,056.45 / $1,159.82 / $1,869.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$987.69 / $1,178.65 / $1,787.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.98 / $608.66 / $795.98
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,070.90 / $1,607.36 / $1,891.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $6,097.00 / $8,267.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$785.40 / $1,001.11 / $1,713.60