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Maine rates for HCPCS 51925

Closure of vesicouterine fistula; with hysterectomy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,355.94 / $1,355.94 / $1,489.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,065.14 / $15,647.20 / $17,644.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,234.94 / $1,427.13 / $2,200.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,253.96 / $1,634.93 / $2,342.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,196.44 / $1,540.92 / $2,363.85
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,355.94 / $1,355.94 / $1,489.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,095.08 / $1,540.92 / $2,142.35