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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
$1,760.00 / $4,470.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,454.48 / $1,807.51 / $1,845.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,490.00 / $11,288.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,534.00 / $1,855.00 / $2,860.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,313.41 / $2,255.07 / $3,984.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,120.00 / $2,402.00 / $7,903.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,635.63 / $2,893.31 / $11,364.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.00 / $3,233.00 / $11,343.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,534.80 / $2,133.92 / $4,332.03