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Louisiana 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
$900.00 / $2,569.56 / $4,050.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,446.02 / $2,569.56 / $2,735.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,130.23 / $2,238.07 / $2,743.64
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,417.92 / $2,103.40 / $2,700.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.00 / $1,309.00 / $7,168.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,344.89 / $2,043.57 / $3,411.62