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Closure Of Ureter-To-Skin Fistula

Wisconsin rates for HCPCS 50920

Surgery that closes an abnormal tunnel running from the ureter, the tube carrying urine from the kidney to the bladder, out to the skin surface, where urine has been leaking through the body wall. The surgeon removes the unhealthy tract and sews the tube closed so urine drains the normal way. Such a tunnel usually follows earlier surgery, injury, or radiation treatment.

Rates data updated July 2026.

Facilitymedian $7,762 · 10th–90th $3,020$14,4540%10%10th90th$7,762Professionalmedian $1,698 · 10th–90th $891$4,0740%5%10th90th$1,698$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
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,819.70
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,122.02
Typical High
$4,073.80
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,317.64
Typical High
$14,125.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,659.59
Typical High
$4,265.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$2,691.53
Typical High
$4,265.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$2,818.38
Typical High
$3,162.28
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$7,244.36
Typical High
$13,489.63
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$2,187.76
Typical High
$2,691.53
Medica
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$2,818.38
Typical High
$9,549.93
Medica
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,621.81
Typical High
$5,888.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,174.90
Network Health
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,737.80
Network Health
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$2,187.76
Typical High
$2,884.03
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,047.13
Typical High
$1,819.70
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$2,041.74
Typical High
$2,884.03
Quartz
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$5,495.41
Typical High
$5,495.41
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$2,818.38
Typical High
$6,606.93
Security Health
Setting
Professional
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$4,466.84
Security Health
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$5,128.61
Typical High
$6,456.54
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$5,754.40
Typical High
$20,892.96
United
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,479.11
Typical High
$3,801.89