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Minnesota 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
$1,445.44 / $1,445.44 / $1,445.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,698.24 / $2,951.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $7,244.36 / $15,488.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $3,548.13 / $5,754.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $5,370.32 / $12,882.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.95 / $4,677.35 / $6,918.31
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $5,248.07 / $10,232.93
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $3,890.45 / $5,888.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,570.40 / $4,168.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $3,235.94 / $6,918.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $3,467.37 / $8,511.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $3,162.28 / $6,025.60