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North Dakota rates for HCPCS 50920

Closure of ureterocutaneous fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.30 / $884.30 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$834.36 / $884.30 / $884.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,703.63 / $1,853.08 / $2,221.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,067.33 / $2,071.60 / $2,675.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.30 / $1,240.04 / $2,652.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$917.76 / $1,721.41 / $2,292.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$917.76 / $1,833.48 / $2,292.28