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Wisconsin rates for HCPCS 50526

Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; thoracic approach

Facilitymedian $10,233 · 10th–90th $4,365$18,1970%5%10%10th90th$10,233Professionalmedian $2,188 · 10th–90th $1,445$6,3100%10%20%10th90th$2,188$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $3,090.30 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,445.44 / $1,698.24 / $3,890.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $10,964.78 / $19,054.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,479.11 / $2,884.03 / $7,244.36
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,890.45 / $4,466.84 / $7,244.36
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,778.28 / $4,786.30 / $5,495.41
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $7,244.36 / $13,489.63
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $3,715.35 / $4,677.35
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $3,235.94 / $9,549.93
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,548.82 / $2,570.40 / $10,000.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $1,905.46
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $2,238.72 / $2,884.03
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,089.30 / $3,801.89 / $5,011.87
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,905.46 / $3,715.35 / $6,309.57
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,890.45 / $22,908.68 / $22,908.68
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $7,413.10 / $11,220.18
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,762.47 / $7,762.47 / $7,762.47
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,918.31 / $8,912.51 / $11,220.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $7,079.46 / $19,498.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,479.11 / $2,570.40 / $6,456.54