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Wyoming rates for HCPCS 50920

Closure of ureterocutaneous fistula

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.17 / $881.17 / $881.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,722.00 / $2,066.00 / $2,584.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,193.42 / $1,477.10 / $2,143.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,388.75 / $2,753.28 / $3,442.56