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Washington, DC 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
$1,017.00 / $1,614.00 / $7,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,596.16 / $1,596.16 / $1,596.16
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,510.00 / $1,719.47 / $1,774.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,537.31 / $1,856.00 / $5,139.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,521.29 / $3,328.73 / $3,328.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.00 / $1,319.00 / $16,382.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,398.66 / $3,205.78 / $3,856.87