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Virginia 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
$1,661.94 / $4,796.00 / $9,539.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,512.93 / $1,661.94 / $1,785.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,671.00 / $14,927.78 / $20,791.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,357.15 / $1,735.49 / $2,380.21
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,628.22 / $1,823.61 / $3,175.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,442.56 / $1,932.20 / $3,666.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,381.90 / $1,658.28 / $2,045.21
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,601.36 / $1,945.62 / $2,808.68
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,746.00 / $2,128.00 / $3,391.68
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,390.18 / $1,900.73 / $3,610.01
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,390.18 / $1,900.73 / $3,610.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,713.00 / $3,295.00 / $5,790.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,236.85 / $1,749.47 / $3,209.90