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Virginia rates for HCPCS 50520

Closure of nephrocutaneous or pyelocutaneous fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,309.64 / $3,839.68 / $8,920.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,130.91 / $1,309.64 / $1,407.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,671.00 / $14,927.78 / $20,791.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.64 / $1,370.39 / $1,879.48
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.00 / $1,291.64 / $2,134.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,119.15 / $1,501.36 / $2,888.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,092.00 / $1,310.40 / $1,616.16
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,262.55 / $1,538.76 / $2,213.29
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,296.00 / $1,617.00 / $2,679.62
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.07 / $1,450.24 / $2,784.38
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,106.07 / $1,450.24 / $2,784.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,066.00 / $1,820.00 / $3,880.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$974.42 / $1,489.61 / $2,627.13