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Wisconsin rates for HCPCS 51920

Closure of vesicouterine fistula;

Facilitymedian $7,586 · 10th–90th $3,981–$12,0230%10%10th90th$7,586Professionalmedian $1,096 · 10th–90th $741–$3,1620%10%20%10th90th$1,096$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $1,584.89 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $812.83 / $1,905.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $7,943.28 / $13,489.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $1,445.44 / $3,630.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,949.84 / $2,290.87 / $3,715.35
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $2,454.71 / $2,754.23
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $4,168.69 / $7,413.10
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,348.96 / $1,905.46 / $2,344.23
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $5,495.41 / $8,317.64
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $1,380.38 / $5,128.61
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $1,023.29
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $5,754.40 / $7,762.47
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,949.84 / $2,511.89
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $1,737.80 / $3,162.28
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,949.84 / $6,165.95 / $6,165.95
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,047.13 / $3,715.35 / $6,165.95
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,890.45 / $3,890.45 / $3,890.45
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,548.13 / $4,466.84 / $5,623.41
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $7,413.10 / $9,120.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $1,258.93 / $3,311.31