go back

Louisiana rates for HCPCS 50930

Closure Ureterocutaneous Fistula W/Visc Rpr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $2,562.00 / $4,050.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,028.46 / $1,735.19 / $1,863.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,059.93 / $8,644.12 / $12,150.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,458.95 / $1,550.53 / $2,058.08
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,183.11 / $1,423.48 / $1,911.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.00 / $1,309.00 / $7,168.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.63 / $1,510.39 / $2,323.59