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Missouri rates for HCPCS 51920

Closure Vesicouterine Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,400.00 / $4,261.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.83 / $868.11 / $886.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,449.00 / $10,043.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.62 / $932.56 / $1,478.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.33 / $1,150.22 / $1,993.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$733.77 / $1,433.30 / $3,532.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$846.62 / $1,390.15 / $6,219.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,644.00 / $2,874.00 / $5,813.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.05 / $1,060.09 / $2,080.98