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Rhode Island rates for HCPCS 50920

Closure of ureterocutaneous fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $3,981.07 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,071.52 / $2,754.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $933.25 / $1,548.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $1,148.15 / $1,862.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $3,548.13 / $7,244.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,122.02 / $1,737.80