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North Carolina rates for HCPCS 50930

Closure of ureterovisceral fistula (including visceral repair)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,073.13 / $1,615.00 / $7,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,073.13 / $1,073.13 / $1,893.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,257.38 / $2,000.97 / $2,801.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,222.07 / $1,830.97 / $2,908.64
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,073.13 / $1,517.92 / $2,718.59
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,517.92 / $1,517.92 / $2,722.89
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $1,788.90 / $2,719.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.00 / $4,086.00 / $7,778.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,104.78 / $1,546.69 / $3,446.59
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $7,072.73 / $8,757.14
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,994.16 / $7,994.16 / $9,114.75