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Nebraska rates for HCPCS 50520

Closure of nephrocutaneous or pyelocutaneous fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,166.29 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,025.49 / $1,025.49 / $5,976.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,732.29 / $13,189.77 / $24,760.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$989.50 / $1,686.66 / $2,248.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,062.02 / $2,562.51 / $3,386.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,025.49 / $1,775.00 / $6,043.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,437.39 / $2,589.19 / $8,389.36
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,796.00 / $2,429.82 / $3,386.51
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,644.00 / $2,429.82 / $3,386.51
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $1,664.40 / $2,926.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,562.00 / $2,743.00 / $6,043.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,437.39 / $2,363.69 / $2,968.03