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Idaho rates for HCPCS 51925

Closure of vesicouterine fistula; with hysterectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,394.91 / $1,405.93 / $2,451.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,499.51 / $1,822.03 / $2,049.33
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,245.20 / $1,950.62 / $2,598.60
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,724.45 / $1,828.96 / $2,090.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,485.86 / $1,869.31
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,658.28 / $1,658.28 / $2,022.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,700.00 / $15,298.00 / $26,104.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$967.89 / $1,419.33 / $2,274.01