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Kentucky rates for HCPCS 50520

Closure Nephrocutaneous/Pyelocutaneous Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$787.00 / $1,319.39 / $8,229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,151.30 / $1,192.16 / $1,416.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,212.00 / $9,592.68 / $21,957.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$921.85 / $1,117.07 / $1,585.85
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,107.02 / $1,506.19 / $1,737.49
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,179.89 / $1,506.19 / $2,151.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,110.93 / $1,321.30 / $1,321.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,101.67 / $1,481.39 / $2,230.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.00 / $1,335.00 / $3,394.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$943.07 / $1,414.61 / $2,261.12