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Colorado rates for HCPCS 50920

Closure of ureterocutaneous fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,506.00 / $3,189.00 / $10,651.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.55 / $899.55 / $1,175.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,586.00 / $7,563.67 / $13,131.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.07 / $1,282.06 / $1,768.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,027.05 / $1,325.60 / $1,767.47
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.55 / $1,210.78 / $1,513.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,081.20 / $1,332.04 / $1,712.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,506.00 / $8,565.00 / $14,156.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,043.20 / $1,422.53 / $2,294.40