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Wisconsin rates for HCPCS 50920

Closure of ureterocutaneous fistula

Facilitymedian $7,762 · 10th–90th $3,020$16,2180%10%10th90th$7,762Professionalmedian $1,259 · 10th–90th $832$3,7150%10%10th90th$1,259$50.0$200.0$1.0K$5.0K$20.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $1,819.70 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$831.76 / $912.01 / $2,187.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,128.31 / $13,489.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $1,659.59 / $4,265.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $2,630.27 / $4,265.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $2,818.38 / $3,162.28
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $7,244.36 / $13,489.63
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,548.82 / $2,187.76 / $2,691.53
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $2,818.38 / $9,549.93
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $1,621.81 / $5,888.44
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $1,174.90
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $1,288.25 / $1,737.80
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $2,187.76 / $2,884.03
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,995.26 / $3,715.35
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $7,079.46 / $7,079.46
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $4,265.80 / $6,456.54
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,466.84 / $4,466.84 / $4,466.84
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,168.69 / $5,128.61 / $6,456.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $7,079.46 / $19,498.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$831.76 / $1,479.11 / $3,801.89