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Ohio rates for HCPCS 51925

Closure of vesicouterine fistula; with hysterectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.46 / $4,723.00 / $11,627.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,078.46 / $1,078.46 / $2,139.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,974.00 / $8,812.62 / $16,874.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.34 / $1,118.93 / $1,997.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,014.17 / $1,217.00 / $1,506.31
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,001.41 / $1,115.58 / $1,115.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$858.52 / $1,419.84 / $2,144.51
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$922.26 / $1,487.95 / $2,144.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.29 / $944.42 / $1,494.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,480.00 / $3,086.00 / $6,111.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,014.77 / $1,359.76 / $2,359.48