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Alabama rates for HCPCS 50930

Closure Ureterocutaneous Fistula W/Visc Rpr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.00 / $1,728.00 / $2,250.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,062.07 / $2,083.28 / $2,083.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,152.67 / $1,579.00 / $1,863.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$993.63 / $1,384.55 / $3,576.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650.00 / $1,754.00 / $5,201.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$861.55 / $1,150.72 / $1,764.09