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North Carolina 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
$1,414.85 / $1,615.00 / $7,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,448.93 / $1,448.93 / $2,478.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,832.87 / $2,419.38 / $3,655.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,501.57 / $2,260.53 / $3,857.86
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,448.93 / $1,855.41 / $3,580.81
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,855.41 / $1,855.41 / $3,823.92
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $2,122.90 / $3,703.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,064.00 / $3,906.00 / $6,388.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,398.05 / $1,957.27 / $4,590.59
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $10,988.88 / $13,266.24
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,385.84 / $10,385.84 / $12,708.08