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Idaho 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
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,010.09 / $2,013.56 / $3,498.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,154.17 / $2,637.00 / $2,944.04
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,881.03 / $2,720.67 / $3,708.92
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,537.83 / $2,537.83 / $3,076.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $2,411.23 / $2,686.81
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,417.86 / $2,417.86 / $2,873.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,700.00 / $15,298.00 / $26,104.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,561.62 / $2,066.86 / $3,398.83