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Ohio 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
$1,480.02 / $5,135.00 / $11,627.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,476.49 / $1,480.02 / $2,970.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,142.00 / $12,455.21 / $21,287.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,050.69 / $1,491.48 / $2,532.04
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,403.75 / $1,684.50 / $2,084.94
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,330.56 / $1,544.13 / $1,544.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,180.76 / $1,950.27 / $2,998.37
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,290.39 / $1,973.24 / $2,960.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.32 / $1,286.15 / $2,006.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,771.00 / $3,098.00 / $6,792.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,357.85 / $1,863.62 / $3,297.71