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Maryland rates for HCPCS 50525

Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; abdominal approach

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,512.93 / $1,596.16 / $7,572.89
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,510.00 / $1,628.22 / $1,861.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,320.34 / $1,922.55 / $4,735.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,549.70 / $2,061.10 / $3,309.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,250.51 / $1,835.75 / $3,432.62
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,286.69 / $1,782.16 / $2,172.00