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Maine 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
$1,991.27 / $1,991.27 / $1,991.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,783.47 / $23,063.27 / $26,006.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,911.59 / $2,102.73 / $3,237.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,668.63 / $2,348.03 / $3,363.96
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,760.78 / $2,267.73 / $3,478.82
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,991.27 / $1,991.27 / $1,991.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,880.40 / $2,097.37 / $3,478.82