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Arkansas rates for HCPCS 50525

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,277.00 / $1,926.73 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,559.42 / $1,926.73 / $1,938.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,444.10 / $1,911.30 / $1,911.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,335.00 / $2,168.84 / $2,698.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $1,230.00 / $2,421.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,233.86 / $1,546.08 / $2,763.75