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Arkansas 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
$1,277.00 / $1,975.45 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,411.26 / $2,065.82 / $2,065.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,546.43 / $2,046.74 / $2,046.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,335.00 / $2,325.15 / $2,891.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $1,056.00 / $2,558.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,317.06 / $1,707.33 / $3,179.42