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Delaware 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
$6,907.00 / $6,907.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,480.02 / $1,519.77 / $1,519.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,310.27 / $1,864.47 / $2,632.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,250.51 / $1,636.19 / $3,386.76