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Georgia 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
$1,512.93 / $5,045.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,411.80 / $1,760.27 / $3,090.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,538.99 / $5,842.74 / $15,411.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,470.98 / $2,059.37 / $3,865.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.00 / $550.00 / $550.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,496.67 / $2,471.61 / $4,213.34
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,461.29 / $1,899.68 / $3,309.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,162.00 / $3,372.00 / $8,133.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,483.33 / $2,016.27 / $3,763.25