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Maine rates for HCPCS 51920

Closure Vesicouterine Fistula

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$978.83 / $978.83 / $1,085.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,065.14 / $15,647.20 / $17,644.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$923.39 / $1,015.72 / $1,565.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$911.84 / $1,143.16 / $1,637.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.32 / $1,096.43 / $1,681.98
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$848.18 / $978.83 / $1,085.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$853.11 / $1,199.54 / $1,550.23