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Arizona rates for HCPCS 50520

Closure Nephrocutaneous/Pyelocutaneous Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,170.00 / $2,640.00 / $5,506.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,091.80 / $1,213.85 / $5,976.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,598.50 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.20 / $956.26 / $1,195.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$990.88 / $1,331.90 / $2,521.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,088.09 / $1,347.00 / $2,633.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$979.20 / $1,282.49 / $8,389.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$792.00 / $1,525.00 / $3,152.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$978.75 / $1,218.02 / $2,233.58