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Kansas rates for HCPCS 50930

Closure of ureterovisceral fistula (including visceral repair)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,930.00 / $7,655.00 / $13,151.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,249.54 / $1,249.54 / $1,754.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,499.32 / $1,763.91 / $1,763.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,058.58 / $1,655.78 / $2,465.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,503.95 / $4,478.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,153.97 / $1,460.42 / $8,172.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$783.00 / $1,743.00 / $8,198.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,133.44 / $1,348.79 / $2,279.98