go back

Alaska rates for HCPCS 51925

Closure of vesicouterine fistula; with hysterectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $12,022.64 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,348.96 / $5,011.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,630.78 / $3,630.78 / $3,630.78
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,621.81 / $7,079.46
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $3,019.95 / $7,413.10
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,365.16 / $4,365.16 / $6,456.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $5,011.87 / $7,079.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $977.24 / $3,630.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $2,884.03 / $7,244.36