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Alaska rates for HCPCS 50526

Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; thoracic approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $12,022.64 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,995.26 / $7,244.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,248.07 / $5,248.07 / $5,248.07
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $2,511.89 / $10,000.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,715.35 / $4,786.30 / $10,471.29
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,309.57 / $6,309.57 / $9,772.37
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $7,244.36 / $10,232.93
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $1,513.56 / $5,248.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,073.80 / $4,265.80 / $9,772.37