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Rhode Island rates for HCPCS 50920

Closure Ureterocutaneous Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,706.14 / $3,706.14 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$887.86 / $906.69 / $1,210.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$925.48 / $1,088.80 / $1,723.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.00 / $1,186.93 / $1,893.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,649.00 / $4,915.00 / $7,205.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.02 / $1,097.45 / $1,734.32