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Arizona rates for HCPCS 51920

Closure Vesicouterine Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $3,819.00 / $7,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.22 / $820.20 / $4,022.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,310.70 / $4,903.56 / $8,070.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.05 / $632.07 / $790.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.88 / $926.16 / $1,675.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$735.42 / $1,066.51 / $3,801.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$706.47 / $897.84 / $6,219.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,343.00 / $3,339.00 / $5,838.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.50 / $861.48 / $1,479.76