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Arizona 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
$1,671.00 / $3,617.00 / $6,329.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,382.29 / $1,538.28 / $7,572.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,598.50 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$907.82 / $1,210.42 / $1,513.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,263.81 / $1,686.91 / $3,200.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,382.29 / $1,770.00 / $4,276.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,275.28 / $1,670.76 / $10,618.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,360.00 / $2,572.00 / $6,416.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,263.78 / $1,585.09 / $2,884.00