go back

Alabama rates for HCPCS 50920

Closure of ureterocutaneous fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.00 / $1,667.30 / $2,250.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.13 / $1,667.30 / $1,667.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.42 / $1,254.00 / $1,479.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$793.15 / $1,099.38 / $2,726.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650.00 / $1,754.00 / $5,201.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.32 / $917.76 / $1,468.42