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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
$1,023.29 / $1,202.26 / $3,090.30
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,230.27 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,380.38 / $3,162.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,148.15 / $1,905.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $660.69 / $660.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,258.93 / $2,137.96
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,288.25 / $1,513.56