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Oklahoma 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
$1,346.00 / $3,684.00 / $18,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.47 / $1,778.47 / $1,808.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,546.90 / $2,069.32 / $2,413.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.00 / $2,010.89 / $5,882.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,385.17 / $1,971.42 / $11,364.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.00 / $1,760.00 / $6,155.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,326.08 / $1,740.48 / $2,914.06