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Kansas rates for HCPCS 50920

Closure Ureterocutaneous Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,930.00 / $7,655.00 / $13,151.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,001.25 / $1,001.25 / $1,406.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,167.83 / $1,373.93 / $1,373.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$841.61 / $1,325.95 / $1,751.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,230.57 / $4,478.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$923.12 / $1,142.88 / $6,562.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$783.00 / $1,743.00 / $8,198.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$917.76 / $1,068.15 / $1,826.94