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Ohio rates for HCPCS 51920

Closure of vesicouterine fistula;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,130.88 / $5,355.00 / $10,817.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.51 / $760.51 / $2,028.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,315.00 / $8,450.20 / $15,206.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.55 / $807.30 / $1,421.52
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$722.50 / $867.00 / $1,073.10
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.80 / $794.75 / $794.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.78 / $1,011.50 / $1,558.52
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.16 / $1,071.21 / $1,558.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.89 / $744.53 / $1,060.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,233.00 / $4,383.00 / $6,522.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.90 / $979.28 / $1,692.48