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Colorado rates for HCPCS 50930

Closure of ureterovisceral fistula (including visceral repair)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,506.00 / $3,189.00 / $10,651.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,118.16 / $1,118.16 / $1,479.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,586.00 / $7,563.67 / $13,131.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,217.11 / $1,597.05 / $2,202.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,296.06 / $1,662.56 / $2,191.94
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,118.16 / $1,512.13 / $1,912.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,343.94 / $1,655.73 / $2,128.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,292.00 / $8,535.00 / $12,740.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,305.03 / $1,837.97 / $3,331.32