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North Dakota rates for HCPCS 50930

Closure of ureterovisceral fistula (including visceral repair)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,105.43 / $1,105.43 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,038.72 / $1,105.43 / $1,105.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,119.89 / $2,306.84 / $2,765.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,331.53 / $2,573.96 / $3,323.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,105.43 / $1,541.78 / $3,316.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.73 / $2,080.42 / $2,863.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.73 / $2,215.88 / $2,863.96