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Wyoming rates for HCPCS 50520

Closure Nephrocutaneous/Pyelocutaneous Fistula

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,173.20 / $1,173.20 / $1,173.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,284.00 / $2,741.00 / $3,425.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,403.72 / $1,923.99 / $2,412.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$788.00 / $788.00 / $3,328.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,626.35 / $2,618.73 / $4,039.20