go back

Washington, DC rates for HCPCS 50520

Closure Nephrocutaneous/Pyelocutaneous Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,117.00 / $2,761.00 / $4,100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,262.32 / $1,262.32 / $1,262.32
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.00 / $1,190.00 / $1,291.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,098.27 / $1,468.61 / $4,059.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,203.08 / $2,632.10 / $2,632.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$665.00 / $762.00 / $6,342.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,095.61 / $2,343.33 / $3,049.71