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Delaware rates for HCPCS 50930

Closure of ureterovisceral fistula (including visceral repair)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,907.00 / $6,907.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.48 / $1,116.61 / $1,116.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$999.37 / $1,392.25 / $1,933.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,025.76 / $1,310.26 / $2,513.60