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Connecticut rates for HCPCS 50920

Closure of ureterocutaneous fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,647.50 / $6,607.00 / $10,492.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,210.51 / $1,647.50 / $2,288.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,021.45 / $11,075.34 / $12,977.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$878.55 / $1,813.78 / $2,151.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,095.83 / $1,376.85 / $2,760.34
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,216.86 / $1,457.25 / $1,457.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,275.00 / $6,137.00 / $16,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$917.76 / $1,462.53 / $2,805.93