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Texas rates for HCPCS 51925

Closure of vesicouterine fistula; with hysterectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$969.00 / $3,570.00 / $10,836.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,032.10 / $1,147.96 / $1,541.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$995.43 / $1,264.82 / $1,755.42
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$926.46 / $926.46 / $926.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,093.09 / $1,421.03 / $2,205.44
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $8,541.26
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,730.16 / $7,980.88 / $9,059.48
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,068.66 / $1,370.59 / $2,256.17
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,149.63 / $1,599.03 / $1,881.22
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,385.60 / $1,385.60 / $1,385.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,068.66 / $1,372.27 / $2,602.94
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,108.58 / $1,428.68 / $2,303.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.00 / $2,064.00 / $8,759.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$887.22 / $1,170.65 / $1,885.35
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.98 / $1,017.77 / $1,407.16