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California rates for HCPCS 50520

Closure of nephrocutaneous or pyelocutaneous fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,335.00 / $5,710.00 / $17,054.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.78 / $1,153.58 / $5,976.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,143.00 / $5,943.00 / $17,234.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,182.23 / $1,591.01 / $3,238.09
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.20 / $100.00 / $5,349.65
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.39 / $1,132.89 / $2,781.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,024.73 / $1,426.34 / $4,091.61
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$843.26 / $1,256.79 / $1,508.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,131.10 / $1,452.10 / $2,604.29
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $7,589.89 / $9,378.67
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,207.92 / $8,389.36 / $10,031.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,168.24 / $1,479.71 / $2,145.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.81 / $1,440.49 / $3,114.20
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,708.16 / $3,708.16 / $3,708.16
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$843.26 / $1,264.89 / $1,595.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,437.00 / $2,753.00 / $9,380.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$945.00 / $1,383.74 / $3,805.56