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Arkansas rates for HCPCS 50520

Closure Nephrocutaneous/Pyelocutaneous Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$803.00 / $1,411.50 / $2,812.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$955.21 / $1,516.56 / $1,517.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,140.54 / $1,509.54 / $1,509.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.00 / $1,707.67 / $2,129.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.00 / $838.00 / $1,574.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$974.42 / $1,218.02 / $2,175.96