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Idaho 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
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,878.42 / $1,880.99 / $3,267.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,010.84 / $2,461.53 / $2,748.14
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,749.08 / $2,593.54 / $3,463.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,370.77 / $2,431.04 / $2,873.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,995.08 / $2,509.94
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,258.78 / $2,258.78 / $2,683.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,700.00 / $15,298.00 / $26,104.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,236.85 / $1,927.81 / $3,170.16