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West Virginia rates for HCPCS 51920

Closure Vesicouterine Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$718.12 / $718.12 / $1,700.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.28 / $760.51 / $865.93
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$811.78 / $899.22 / $979.72
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.86 / $870.86 / $870.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$867.66 / $867.66 / $867.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$745.67 / $1,088.57 / $4,482.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$617.67 / $854.38 / $1,331.71