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Arkansas rates for HCPCS 50920

Closure of ureterocutaneous fistula

Facilitymedian $1,585 · 10th–90th $1,072–$2,4550%10%20%10th90th$1,585Professionalmedian $1,000 · 10th–90th $832–$1,3800%10%20%10th90th$1,000$500.0$1.0K$2.0K$5.0K

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
$1,122.02 / $1,584.89 / $2,454.71
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$831.76 / $1,000.00 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$831.76 / $1,318.26 / $1,621.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $1,230.27 / $2,570.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $912.01 / $1,659.59