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North Dakota 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
$1,538.83 / $1,538.83 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,438.46 / $1,538.83 / $1,538.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,059.20 / $3,330.61 / $3,992.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,914.90 / $3,529.72 / $4,558.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,538.83 / $2,024.79 / $4,616.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,605.87 / $2,822.98 / $3,949.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,657.60 / $2,933.95 / $3,949.25