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Closure Of Ureter-To-Skin Fistula

Florida rates for HCPCS 50920

Surgery that closes an abnormal tunnel running from the ureter, the tube carrying urine from the kidney to the bladder, out to the skin surface, where urine has been leaking through the body wall. The surgeon removes the unhealthy tract and sews the tube closed so urine drains the normal way. Such a tunnel usually follows earlier surgery, injury, or radiation treatment.

Rates data updated July 2026.

Facilitymedian $8,710 · 10th–90th $1,148$25,7040%10%10th90th$8,710Professionalmedian $891 · 10th–90th $741$1,3490%20%40%10th90th$891$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$6,025.60
Typical High
$12,022.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$891.25
Typical High
$1,230.27
AvMed
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$6,025.60
Typical High
$12,302.69
AvMed
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$933.25
Typical High
$1,000.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$398.11
Typical High
$10,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,122.02
Typical High
$1,819.70
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$9,332.54
Median
$21,877.62
Typical High
$33,884.42
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$616.60
Typical High
$954.99
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,148.15
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$5,011.87
Typical High
$9,549.93
United
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,096.48
Typical High
$1,862.09
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$912.01