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Connecticut rates for HCPCS 50930

Closure Ureterocutaneous Fistula W/Visc Rpr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,975.72 / $6,607.00 / $10,492.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,592.79 / $1,975.72 / $2,809.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,021.45 / $11,075.34 / $12,977.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,093.67 / $2,508.29 / $2,982.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,372.52 / $1,784.58 / $3,468.16
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,595.45 / $1,812.18 / $1,812.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,275.00 / $6,137.00 / $16,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,127.61 / $1,828.70 / $3,508.44