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Alaska rates for HCPCS 50525

Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; abdominal approach

Facilitymedian $2,692 · 10th–90th $1,585–$9,7720%10%10th90th$2,692Professionalmedian $1,862 · 10th–90th $1,349–$6,7610%10%20%10th90th$1,862$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $12,022.64 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,348.96 / $1,698.24 / $3,981.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,412.54 / $1,949.84 / $4,897.79
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $2,344.23 / $9,332.54
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,949.84 / $4,466.84 / $9,772.37
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,025.60 / $6,025.60 / $9,120.11
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $2,344.23 / $9,332.54
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $3,235.94 / $3,235.94
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,548.82 / $3,890.45 / $9,120.11