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Maryland rates for HCPCS 51925

Closure of vesicouterine fistula; with hysterectomy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,105.61 / $1,176.33 / $5,565.85
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,208.70 / $1,208.70 / $1,547.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,079.43 / $1,412.88 / $3,461.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,115.71 / $1,483.89 / $2,403.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$943.37 / $1,310.63 / $2,556.50
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$824.28 / $1,283.07 / $1,583.22