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Louisiana rates for HCPCS 51920

Closure Vesicouterine Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.00 / $1,850.00 / $3,945.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.51 / $1,197.33 / $1,283.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,505.38 / $2,939.64 / $3,039.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,014.19 / $1,076.46 / $1,388.02
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$807.43 / $984.92 / $1,323.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.00 / $2,415.00 / $6,585.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.31 / $1,002.41 / $1,600.83