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Florida 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
$1,255.90 / $4,790.00 / $11,576.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,255.90 / $1,480.02 / $1,792.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $400.00 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,253.04 / $1,960.69 / $3,108.11
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,624.00 / $21,162.00 / $32,051.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,052.91 / $1,128.11 / $1,984.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.70 / $1,262.77 / $1,947.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$879.00 / $5,078.00 / $13,486.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,227.34 / $1,766.90 / $3,084.20
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,041.70 / $1,041.70 / $1,041.70