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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
$1,591.69 / $1,591.69 / $1,591.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,096.00 / $3,715.00 / $4,644.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,912.54 / $2,605.25 / $3,473.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,140.59 / $3,563.84 / $5,499.13