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Arizona 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
$1,671.00 / $3,617.00 / $6,329.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.69 / $1,646.63 / $8,113.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,598.50 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$971.71 / $1,295.60 / $1,619.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,281.20 / $1,745.03 / $3,430.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.69 / $1,825.11 / $4,276.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,291.61 / $1,745.34 / $11,364.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.00 / $3,269.00 / $14,572.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,284.02 / $1,653.49 / $3,045.27