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Maryland rates for HCPCS 50526

Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; thoracic approach

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,778.28 / $4,168.69
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,819.70 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,995.26 / $4,466.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $1,778.28 / $2,754.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $660.69 / $660.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,778.28 / $3,235.94
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,995.26 / $2,344.23