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Rhode Island rates for HCPCS 50920

Closure of ureterocutaneous fistula

Facilitymedian $3,981 · 10th–90th $1,778$6,6070%10%10th90th$3,981Professionalmedian $1,072 · 10th–90th $912$1,6600%20%10th90th$1,072$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,715.35 / $3,981.07 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $1,071.52 / $1,659.59
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $933.25 / $1,548.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $1,148.15 / $1,862.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $3,548.13 / $7,244.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $1,096.48 / $1,659.59