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West Virginia rates for HCPCS 51900

Closure of vesicovaginal fistula, abdominal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$775.52 / $775.52 / $2,300.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$729.87 / $820.73 / $934.28
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$876.46 / $971.34 / $1,058.28
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$940.69 / $940.69 / $940.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$936.55 / $936.55 / $936.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$804.31 / $1,175.86 / $4,882.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$668.20 / $929.29 / $1,438.21