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North Dakota rates for HCPCS 50520

Closure of nephrocutaneous or pyelocutaneous fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,132.90 / $1,132.90 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,063.67 / $1,132.90 / $1,132.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,256.92 / $2,456.92 / $2,945.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,411.59 / $2,614.82 / $3,376.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,132.90 / $1,450.79 / $3,398.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,138.76 / $2,070.48 / $2,909.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,783.00 / $1,783.00 / $1,783.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,138.76 / $2,155.90 / $2,909.60