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Arkansas rates for HCPCS 50930

Closure of ureterovisceral fistula (including visceral repair)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,277.00 / $1,688.00 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,021.45 / $1,491.52 / $1,604.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,107.63 / $1,465.98 / $1,465.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,335.00 / $1,768.77 / $2,065.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $1,056.00 / $2,558.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,008.03 / $1,194.70 / $2,125.08