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Virginia 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
$1,781.59 / $4,796.00 / $9,539.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,540.25 / $1,781.59 / $1,913.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,671.00 / $14,927.78 / $20,791.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,452.72 / $1,857.71 / $2,547.84
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,655.46 / $1,854.12 / $3,228.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,444.88 / $2,032.15 / $3,930.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.08 / $1,774.90 / $2,189.04
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,713.29 / $2,082.73 / $3,010.89
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,831.99 / $2,195.00 / $3,629.95
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.09 / $1,956.02 / $3,788.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.09 / $1,956.02 / $3,788.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $3,130.00 / $5,226.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,326.08 / $2,103.90 / $3,573.85