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Tennessee rates for HCPCS 51920

Closure Vesicouterine Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.49 / $938.66 / $1,183.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,417.00 / $2,345.00 / $4,147.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.42 / $984.00 / $1,660.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.20 / $1,065.08 / $1,678.42
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $6,110.86 / $6,241.90
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,219.71 / $6,219.71 / $6,368.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,695.00 / $3,616.00 / $6,285.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.51 / $1,161.03 / $1,795.31