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Kentucky rates for HCPCS 50930

Closure of ureterovisceral fistula (including visceral repair)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$860.00 / $1,337.80 / $8,229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,086.96 / $1,120.99 / $1,359.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,934.66 / $8,915.89 / $14,897.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$971.58 / $1,177.33 / $1,638.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,038.67 / $1,425.03 / $1,643.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,149.16 / $1,425.03 / $2,035.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,144.67 / $1,249.66 / $1,249.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,068.08 / $1,554.59 / $2,470.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.00 / $4,298.00 / $30,001.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,031.60 / $1,498.79 / $2,161.19