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Idaho rates for HCPCS 50520

Closure of nephrocutaneous or pyelocutaneous fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,407.00 / $4,500.00 / $7,045.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,483.93 / $1,485.17 / $2,577.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.77 / $1,939.97 / $2,165.85
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,389.61 / $2,058.98 / $2,731.72
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,872.29 / $1,901.38 / $2,269.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,576.51 / $1,983.35
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,783.60 / $1,783.60 / $2,118.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,620.00 / $4,150.00 / $4,441.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,147.50 / $1,630.00 / $2,416.96