go back

Connecticut rates for HCPCS 50520

Closure Nephrocutaneous/Pyelocutaneous Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,183.00 / $4,450.00 / $8,031.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,417.06 / $1,846.80 / $2,898.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,646.00 / $7,714.00 / $18,138.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,164.83 / $2,177.38 / $2,703.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,374.51 / $1,614.61 / $3,708.95
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,423.90 / $1,955.65 / $1,955.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,849.00 / $4,635.00 / $9,338.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,103.51 / $1,925.00 / $3,575.62