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Indiana rates for HCPCS 51925

Closure of vesicouterine fistula; with hysterectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,008.69 / $1,297.73 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,008.69 / $1,081.44 / $1,422.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,085.00 / $11,687.63 / $22,742.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$995.44 / $1,244.30 / $1,717.13
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$985.60 / $1,256.15 / $1,449.41
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$966.27 / $1,159.52 / $1,449.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,021.75 / $1,327.91 / $2,294.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,403.00 / $5,242.00 / $10,843.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$983.61 / $1,221.28 / $2,022.23