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Massachusetts rates for HCPCS 51925

Closure of vesicouterine fistula; with hysterectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,135.11 / $2,747.00 / $5,454.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,078.46 / $1,385.13 / $2,638.99
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.00 / $2,671.34 / $6,949.39
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,039.03 / $2,087.85 / $7,730.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,244.32 / $2,189.54 / $4,037.38
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,701.45 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.49 / $1,233.71 / $1,958.63
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,323.42 / $2,623.55 / $3,331.05
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,854.00 / $7,231.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.24 / $2,268.60 / $7,730.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.00 / $3,325.00 / $4,662.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,169.99 / $1,634.73 / $3,821.50