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Georgia rates for HCPCS 51920

Closure Vesicouterine Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,186.91 / $5,063.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.28 / $888.91 / $1,789.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,206.01 / $4,390.45 / $10,456.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$753.29 / $1,070.31 / $2,039.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.00 / $550.00 / $550.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.25 / $1,277.00 / $2,161.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$749.62 / $974.51 / $2,219.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $4,826.00 / $7,889.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.32 / $1,091.97 / $1,968.20