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Tennessee rates for HCPCS 51925

Closure of vesicouterine fistula; with hysterectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,821.00 / $2,936.53 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.20 / $1,316.83 / $1,428.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,270.00 / $2,302.00 / $4,528.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$972.43 / $1,301.99 / $2,316.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,016.74 / $1,465.73 / $2,382.01
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $8,541.26 / $8,819.44
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,730.16 / $7,980.88 / $9,059.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $2,665.00 / $4,918.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.13 / $1,481.12 / $2,447.92