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Arkansas rates for HCPCS 50920

Closure of ureterocutaneous fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,113.36 / $1,575.13 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$853.48 / $1,191.11 / $1,292.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.56 / $1,176.03 / $1,176.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,075.00 / $1,381.79 / $1,653.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $1,056.00 / $2,558.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$799.39 / $942.08 / $1,696.03