go back

Alaska rates for HCPCS 50520

Closure of nephrocutaneous or pyelocutaneous fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,335.06 / $6,782.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,274.38 / $5,274.38 / $7,241.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,866.24 / $3,866.24 / $3,866.24
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,406.59 / $5,274.38 / $7,542.36
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,836.80 / $7,366.80 / $9,201.73
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,385.00 / $5,086.60 / $7,370.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,406.59 / $5,274.38 / $7,542.36
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,596.00 / $5,062.50 / $7,492.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,980.55 / $4,639.50 / $7,087.22