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Louisiana 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
$900.00 / $2,562.00 / $4,050.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,349.93 / $2,395.28 / $2,549.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,989.09 / $2,089.50 / $2,731.01
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,444.15 / $1,963.76 / $2,615.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$453.00 / $1,649.00 / $7,168.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,313.24 / $1,885.46 / $3,179.64