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Oklahoma rates for HCPCS 50520

Closure of nephrocutaneous or pyelocutaneous fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$918.00 / $3,576.00 / $7,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,308.21 / $1,308.21 / $1,330.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,134.83 / $1,513.52 / $1,750.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.00 / $1,433.93 / $3,536.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.93 / $1,443.38 / $8,389.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.00 / $1,483.00 / $2,421.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$974.42 / $1,278.92 / $2,055.04