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Mississippi rates for HCPCS 50930

Closure Ureterocutaneous Fistula W/Visc Rpr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.00 / $1,320.00 / $2,921.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,011.82 / $2,921.89 / $2,963.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,152.00 / $2,152.00 / $2,152.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,112.07 / $1,833.19 / $2,627.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$690.00 / $1,223.00 / $4,093.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,060.07 / $1,558.44 / $2,703.56