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Maryland rates for HCPCS 50520

Closure Nephrocutaneous/Pyelocutaneous Fistula

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,192.16 / $1,262.32 / $5,976.25
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.41 / $1,130.09 / $1,291.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,042.57 / $1,505.44 / $3,552.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,223.67 / $1,627.48 / $2,610.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,004.55 / $1,284.77 / $2,563.26
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.18 / $1,407.22 / $1,715.63