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Pennsylvania rates for HCPCS 51920

Closure of vesicouterine fistula;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $4,786.30 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $831.76 / $1,737.80
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,417.38 / $21,379.62 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,148.15 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $954.99 / $1,548.82
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,071.52 / $1,174.90
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $954.99 / $1,479.11
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $3,801.89 / $8,317.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $977.24 / $2,344.23
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,513.56
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,230.27 / $1,698.24
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $478.63 / $794.33
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $478.63 / $794.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,995.26 / $5,011.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $891.25 / $1,548.82