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Missouri rates for HCPCS 51925

Closure of vesicouterine fistula; with hysterectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,252.78 / $4,470.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.31 / $1,242.07 / $1,269.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,449.00 / $10,043.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,020.91 / $1,244.30 / $2,053.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$970.79 / $1,550.91 / $2,634.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$892.78 / $1,735.08 / $6,949.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,189.77 / $1,954.27 / $7,980.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.00 / $3,233.00 / $11,343.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,109.03 / $1,459.23 / $2,782.16