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Arizona rates for HCPCS 50920

Closure of ureterocutaneous fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.00 / $3,617.00 / $6,329.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.03 / $898.57 / $4,637.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,598.50 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.98 / $727.97 / $909.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$799.16 / $1,067.33 / $1,927.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$840.43 / $1,192.45 / $4,276.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$804.24 / $1,024.57 / $6,562.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.00 / $3,269.00 / $14,572.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$788.33 / $982.41 / $1,682.97