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Nebraska rates for HCPCS 50920

Closure of ureterocutaneous fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $10,431.19 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$809.38 / $809.38 / $4,637.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,732.29 / $13,189.77 / $24,760.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$785.01 / $1,338.09 / $1,784.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,635.89 / $2,032.95 / $2,698.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$864.96 / $1,464.79 / $7,192.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,140.90 / $2,047.73 / $6,562.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,512.00 / $1,927.22 / $2,698.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,415.35 / $1,927.22 / $2,686.36
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
$3,054.00 / $4,317.00 / $13,909.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,267.67 / $1,945.75 / $2,411.98