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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
$987.97 / $5,839.00 / $11,576.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$929.85 / $1,028.46 / $1,337.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $400.00 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$931.34 / $1,489.00 / $2,442.01
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,624.00 / $21,162.00 / $32,051.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.73 / $811.86 / $1,428.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.60 / $1,039.04 / $1,426.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$677.00 / $5,350.00 / $13,093.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$930.37 / $1,362.81 / $2,309.46
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$821.34 / $821.34 / $821.34