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Virginia rates for HCPCS 51925

Closure of vesicouterine fistula; with hysterectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,157.66 / $4,771.00 / $9,539.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,031.93 / $1,157.66 / $1,326.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,258.11 / $10,783.31 / $14,435.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$996.35 / $1,274.10 / $1,747.44
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,208.70 / $1,353.74 / $2,356.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,069.58 / $1,386.54 / $2,644.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,016.82 / $1,220.18 / $1,504.89
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,157.66 / $1,422.55 / $2,079.27
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,294.00 / $1,463.00 / $2,519.83
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,066.90 / $1,380.35 / $2,639.02
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,066.90 / $1,380.35 / $2,639.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $3,130.00 / $5,226.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$887.22 / $1,427.47 / $2,312.58