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Florida rates for HCPCS 50930

Closure of ureterovisceral fistula (including visceral repair)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $5,495.41 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,148.15 / $1,995.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $398.11 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,513.56 / $2,754.23
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,332.54 / $21,379.62 / $33,113.11
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $758.58 / $1,258.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,412.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $5,128.61 / $10,715.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,348.96 / $2,398.83
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $812.83 / $1,000.00