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Louisiana rates for HCPCS 50520

Closure Nephrocutaneous/Pyelocutaneous Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$497.00 / $1,320.00 / $3,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,063.24 / $1,884.04 / $2,004.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,284.44 / $1,507.07 / $1,558.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,508.13 / $1,647.16 / $2,067.52
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,065.27 / $1,548.04 / $1,990.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.00 / $1,106.00 / $2,514.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,013.47 / $1,535.69 / $2,499.63