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Missouri 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
$1,778.28 / $4,897.79 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,819.70 / $3,090.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $4,786.30 / $10,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,862.09 / $2,951.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,659.59 / $2,344.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $2,041.74 / $3,467.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $2,454.71 / $11,481.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $2,511.89 / $11,481.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $2,818.38 / $10,471.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $2,089.30 / $3,630.78