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Delaware rates for HCPCS 50920

Closure of ureterocutaneous fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,907.00 / $6,907.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$877.75 / $895.62 / $895.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$803.54 / $1,091.29 / $1,551.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.74 / $1,021.46 / $2,008.56