go back

Nebraska 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
$2,884.03 / $7,943.28 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,698.24 / $8,128.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $12,882.50 / $25,118.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $2,238.72 / $3,019.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $3,467.37 / $4,570.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $2,630.27 / $13,803.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $3,090.30 / $11,481.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,388.44 / $3,548.13 / $4,897.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $3,311.31 / $3,311.31
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $2,290.87 / $3,981.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $4,570.88 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,951.21 / $3,801.89