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North Carolina rates for HCPCS 50920

Closure of ureterocutaneous fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$859.61 / $1,406.54 / $7,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$859.61 / $859.61 / $1,513.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,014.17 / $1,547.58 / $2,239.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.51 / $1,462.13 / $2,346.03
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$859.61 / $1,200.04 / $2,182.30
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,200.04 / $1,200.04 / $2,175.81
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $1,395.80 / $2,185.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.00 / $4,086.00 / $7,778.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$861.49 / $1,147.20 / $2,617.51
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,682.39 / $7,038.29
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,420.96 / $6,420.96 / $7,330.05