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Montana rates for HCPCS 51925

Closure of vesicouterine fistula; with hysterectomy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,392.65 / $5,565.85 / $5,565.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,704.64 / $1,704.64 / $1,704.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,195.16 / $1,704.64 / $1,880.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$834.42 / $1,871.35 / $1,989.85
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.38 / $1,560.72 / $2,251.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,468.29 / $1,813.06 / $2,991.44