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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
$4,241.22 / $10,431.19 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,389.43 / $1,389.43 / $8,113.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,823.60 / $13,313.50 / $24,992.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,339.43 / $2,283.11 / $3,044.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,791.24 / $3,468.72 / $4,604.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,532.25 / $2,431.50 / $7,856.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,954.00 / $3,515.26 / $11,364.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,384.00 / $3,377.63 / $4,604.30
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,246.58 / $3,377.63 / $4,604.30
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.00 / $2,094.40 / $3,961.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,054.00 / $4,317.00 / $13,909.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,221.59 / $3,515.26 / $3,920.46