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Washington, DC 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
$1,017.00 / $1,708.59 / $7,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,708.59 / $1,708.59 / $1,708.59
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,330.00 / $1,804.45 / $1,839.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,524.79 / $2,010.45 / $5,498.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,627.63 / $3,561.23 / $3,561.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.00 / $1,319.00 / $16,382.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,438.20 / $2,341.90 / $4,126.26