go back

Montana rates for HCPCS 51920

Closure Vesicouterine Fistula

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.78 / $4,022.79 / $4,022.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,199.88 / $1,199.88 / $1,199.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.72 / $1,199.88 / $1,274.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$593.99 / $1,394.25 / $1,437.67
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.70 / $1,084.16 / $1,563.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,093.95 / $1,321.79 / $2,084.94