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Missouri rates for HCPCS 50520

Closure of nephrocutaneous or pyelocutaneous fistula

Facilitymedian $2,138 · 10th–90th $813–$5,7540%5%10th90th$2,138Professionalmedian $1,349 · 10th–90th $1,047–$2,3990%10%10th90th$1,349$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,174.90 / $2,570.40 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,348.96 / $2,398.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $2,041.74 / $5,248.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,380.38 / $2,187.76
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,230.27 / $1,659.59
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $1,479.11 / $2,454.71
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $1,479.11 / $2,951.21
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,819.70 / $8,317.64
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $1,047.13 / $2,041.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,513.56 / $2,630.27