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Indiana rates for HCPCS 50520

Closure of nephrocutaneous or pyelocutaneous fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $3,801.89 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,230.27 / $2,238.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $19,054.61 / $26,302.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,380.38 / $2,187.76
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,122.02 / $1,288.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,819.70 / $2,137.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,380.38 / $2,511.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $2,818.38 / $4,265.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,258.93 / $2,089.30