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Iowa rates for HCPCS 50930

Closure Ureterocutaneous Fistula W/Visc Rpr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,277.00 / $5,549.00 / $11,100.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,009.35 / $1,605.17 / $1,605.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.10 / $2,715.46 / $3,227.88
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,017.88 / $1,737.14 / $2,951.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,574.59 / $2,632.07 / $6,608.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.19 / $2,587.10 / $8,172.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,718.61 / $2,433.73 / $3,350.63
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,743.00 / $2,398.10 / $3,350.63
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $2,027.70 / $2,719.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,126.00 / $5,847.00 / $7,305.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,282.85 / $2,556.00 / $3,480.08
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,114.60 / $2,114.60 / $2,487.69