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California rates for HCPCS 51920

Closure Vesicouterine Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,197.85 / $6,695.00 / $17,902.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.22 / $846.74 / $4,022.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,222.00 / $7,334.00 / $15,744.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$858.77 / $1,127.36 / $2,207.30
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.20 / $100.00 / $5,403.01
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.29 / $808.98 / $1,979.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$745.22 / $995.15 / $2,996.58
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$744.60 / $893.52 / $1,118.39
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$767.94 / $989.35 / $1,749.90
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $4,932.47 / $6,241.90
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,219.71 / $6,219.71 / $6,368.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$798.12 / $1,033.94 / $1,618.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.41 / $997.49 / $2,172.16
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,496.07 / $2,496.07 / $2,496.07
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$744.60 / $955.13 / $1,408.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,459.00 / $7,359.00 / $15,471.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.87 / $947.37 / $2,447.44