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Washington, DC rates for HCPCS 50920

Closure Ureterocutaneous Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$935.96 / $1,614.00 / $7,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$935.96 / $935.96 / $935.96
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,013.28 / $1,019.52 / $1,104.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.45 / $1,190.14 / $2,973.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$902.95 / $1,973.69 / $1,973.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.00 / $1,319.00 / $16,382.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.86 / $1,282.59 / $2,286.84