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Florida rates for HCPCS 50920

Closure of ureterocutaneous fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$769.09 / $5,839.00 / $11,576.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.71 / $853.48 / $1,073.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $400.00 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$745.62 / $1,166.70 / $1,838.66
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,624.00 / $21,162.00 / $32,051.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.87 / $651.29 / $1,145.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.99 / $843.43 / $1,191.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$677.00 / $5,350.00 / $13,093.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$732.89 / $1,075.07 / $1,896.26
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.10 / $676.10 / $676.10