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Oregon 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
$1,995.26 / $3,890.45 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,819.70 / $3,890.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $3,311.31 / $4,677.35
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $3,019.95 / $3,981.07
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $2,570.40 / $4,073.80
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $2,630.27 / $4,168.69
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $2,884.03 / $3,162.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $2,089.30 / $3,548.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $2,951.21 / $4,168.69
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $7,585.78 / $7,585.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $3,467.37 / $4,265.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $10,232.93 / $37,153.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $3,019.95 / $4,365.16