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Michigan rates for HCPCS 51925

Closure of vesicouterine fistula; with hysterectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $4,897.79 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,174.90 / $1,862.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $1,000.00 / $1,000.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $1,621.81 / $1,659.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,148.15 / $1,778.28
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $3,162.28 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,230.27 / $1,621.81
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,174.90 / $1,698.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $3,890.45 / $6,025.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,348.96 / $1,778.28