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Indiana rates for HCPCS 51920

Closure Vesicouterine Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$712.64 / $1,386.00 / $11,093.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$712.64 / $760.51 / $1,004.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,800.00 / $11,044.01 / $15,154.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.52 / $939.40 / $1,296.36
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$710.36 / $905.36 / $1,044.65
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$696.43 / $835.72 / $1,044.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.44 / $992.29 / $1,668.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,364.00 / $6,094.00 / $10,413.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.33 / $888.13 / $1,481.60