go back

Nebraska rates for HCPCS 51920

Closure Vesicouterine Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,382.00 / $8,477.27 / $19,276.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$701.98 / $701.98 / $4,022.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,779.83 / $7,833.15 / $14,704.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.02 / $1,160.83 / $1,547.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,419.20 / $1,763.66 / $2,339.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$751.62 / $1,276.75 / $6,241.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$988.00 / $1,776.01 / $6,219.71
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,319.00 / $1,673.21 / $2,339.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,200.50 / $1,673.21 / $2,329.67
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $1,143.30 / $1,899.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $6,451.00 / $7,934.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,097.78 / $1,705.50 / $2,128.44