go back

Illinois 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
$1,159.00 / $2,817.41 / $5,549.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,519.77 / $1,591.06 / $2,899.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,609.33 / $24,832.80 / $49,727.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,423.61 / $2,237.98 / $3,149.76
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.76 / $2,521.10 / $6,026.97
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,667.67 / $1,916.63 / $2,155.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,486.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$785.00 / $2,714.00 / $6,625.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,546.08 / $2,349.96 / $3,951.89