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Wyoming 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
$1,486.99 / $1,486.99 / $1,486.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,892.00 / $3,470.00 / $4,338.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,951.71 / $2,434.51 / $3,732.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,185.69 / $4,371.39 / $5,488.55