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Missouri rates for HCPCS 51920

Closure of vesicouterine fistula;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $3,715.35 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $891.25 / $1,995.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $4,786.30 / $10,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $933.25 / $1,479.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $776.25 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $1,071.52 / $1,698.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,905.46 / $5,248.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,230.27 / $6,165.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $2,398.83 / $4,073.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,047.13 / $1,737.80