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Iowa rates for HCPCS 50520

Closure Nephrocutaneous/Pyelocutaneous Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,218.00 / $3,576.15 / $7,119.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,025.49 / $1,651.63 / $1,651.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,274.37 / $2,732.39 / $3,117.37
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,075.84 / $1,697.19 / $2,792.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.64 / $2,367.76 / $3,915.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,357.55 / $2,630.00 / $8,389.36
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,605.71 / $2,429.82 / $3,386.51
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,644.00 / $2,429.82 / $3,352.03
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $1,782.10 / $2,926.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,611.00 / $3,902.18 / $5,454.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,257.73 / $2,481.25 / $3,542.68
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,251.30 / $2,251.30 / $2,648.50