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Mississippi rates for HCPCS 50920

Closure Ureterocutaneous Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.00 / $1,320.00 / $2,370.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$809.47 / $2,337.54 / $2,370.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.00 / $1,698.00 / $1,698.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$847.11 / $1,475.23 / $1,921.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$690.00 / $1,223.00 / $4,093.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$833.71 / $1,227.96 / $1,930.66