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Delaware rates for HCPCS 50520

Closure Nephrocutaneous/Pyelocutaneous Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,140.00 / $3,140.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,167.05 / $1,199.05 / $1,199.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,027.33 / $1,344.71 / $2,076.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $5,000.00 / $5,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$986.97 / $1,196.65 / $2,668.51