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Alaska rates for HCPCS 50930

Closure of ureterovisceral fistula (including visceral repair)

Facilitymedian $2,042 · 10th–90th $1,096–$9,7720%10%10th90th$2,042Professionalmedian $1,413 · 10th–90th $1,023–$5,1290%20%10th90th$1,413$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
$3,388.44 / $12,022.64 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,258.93 / $3,311.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,479.11 / $3,801.89
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,096.48 / $1,819.70 / $7,244.36
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,479.11 / $3,162.28 / $7,762.47
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,466.84 / $4,466.84 / $6,918.31
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,096.48 / $1,698.24 / $7,244.36
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $2,398.83 / $2,398.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,148.15 / $3,019.95 / $7,079.46