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Missouri rates for HCPCS 50520

Closure of nephrocutaneous or pyelocutaneous fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,184.00 / $3,158.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.89 / $1,331.75 / $1,360.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$862.00 / $2,251.00 / $7,568.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,117.00 / $1,373.37 / $2,181.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$966.22 / $1,661.88 / $2,975.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.13 / $1,547.73 / $2,844.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,218.02 / $2,132.25 / $8,389.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.13 / $1,398.00 / $2,087.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,197.45 / $1,619.65 / $3,202.04