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Kentucky rates for HCPCS 50920

Closure of ureterocutaneous fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$860.00 / $1,029.89 / $8,229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$869.89 / $898.29 / $1,070.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,934.66 / $8,915.89 / $14,897.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$782.32 / $947.99 / $1,305.85
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$833.36 / $1,142.83 / $1,318.33
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.70 / $1,142.83 / $1,632.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$867.18 / $1,001.77 / $1,001.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.11 / $1,210.68 / $1,898.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.00 / $4,298.00 / $30,001.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$849.81 / $1,240.75 / $1,723.99