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California rates for HCPCS 51925

Closure of vesicouterine fistula; with hysterectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,153.47 / $9,639.00 / $20,509.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.44 / $1,127.93 / $5,565.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,043.88 / $9,241.00 / $19,204.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,135.20 / $1,527.72 / $3,003.18
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.50 / $100.00 / $5,485.17
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$734.77 / $1,141.08 / $2,779.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,025.26 / $1,385.26 / $3,903.24
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$785.18 / $1,188.22 / $1,443.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,078.40 / $1,383.11 / $2,450.25
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $6,949.39 / $8,819.44
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,730.16 / $7,980.88 / $9,059.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,113.69 / $1,439.66 / $2,013.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,025.26 / $1,416.65 / $3,068.52
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,453.52 / $3,453.52 / $3,453.52
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$785.18 / $1,177.77 / $1,485.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,009.00 / $5,159.00 / $20,279.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$887.22 / $1,318.31 / $3,565.82