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Utah rates for HCPCS 51920

Closure Vesicouterine Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,066.00 / $4,387.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$886.32 / $1,066.00 / $1,731.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.74 / $1,093.33 / $1,424.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.98 / $544.72 / $731.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$993.02 / $1,549.25 / $1,783.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $3,613.00 / $7,048.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.99 / $847.96 / $1,586.15