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Oklahoma 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
$1,346.00 / $3,684.00 / $18,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,660.53 / $1,660.53 / $1,688.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,442.20 / $1,971.72 / $2,272.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.00 / $1,958.21 / $5,882.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,342.40 / $1,865.62 / $10,618.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.00 / $2,545.00 / $6,155.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,236.85 / $1,623.38 / $2,608.55