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Pennsylvania rates for HCPCS 50520

Closure of nephrocutaneous or pyelocutaneous fistula

Facilitymedian $2,692 · 10th–90th $832–$8,3180%5%10%10th90th$2,692Professionalmedian $1,230 · 10th–90th $1,000–$2,0890%20%40%10th90th$1,230$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$1,000.00 / $2,691.53 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,230.27 / $1,905.46
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,417.38 / $21,379.62 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,174.90 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $1,318.26 / $2,187.76
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,737.80 / $1,737.80 / $1,949.84
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,479.11 / $1,995.26
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $1,995.26 / $7,244.36
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $1,174.90 / $1,584.89
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,348.96 / $1,819.70 / $2,290.87
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $309.03 / $1,174.90
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $309.03 / $1,174.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $660.69 / $3,890.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,288.25 / $2,344.23