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Alaska rates for HCPCS 51925

Closure of vesicouterine fistula; with hysterectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,165.79 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,006.67 / $5,006.67 / $6,484.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,590.54 / $3,590.54 / $3,590.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,320.85 / $5,006.67 / $7,159.54
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,612.80 / $6,785.10 / $8,715.40
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,038.75 / $4,684.95 / $6,462.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,320.85 / $5,006.67 / $7,159.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,402.68 / $4,609.50 / $6,585.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,759.40 / $4,308.66 / $6,346.62