go back

Oklahoma rates for HCPCS 50920

Closure of ureterocutaneous fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,684.00 / $18,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$987.57 / $987.57 / $1,004.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$897.45 / $1,188.58 / $1,396.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.00 / $1,269.27 / $5,882.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$825.98 / $1,123.75 / $6,562.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.00 / $1,760.00 / $6,155.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.74 / $1,009.54 / $1,613.42