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Wyoming rates for HCPCS 50526

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,479.11 / $3,890.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $3,890.45 / $4,677.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,630.27 / $3,467.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,288.25 / $3,090.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $3,090.30 / $5,011.87