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Nebraska rates for HCPCS 50930

Closure of ureterovisceral fistula (including visceral repair)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $10,431.19 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,009.35 / $1,009.35 / $5,795.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,283.48 / $11,226.25 / $21,074.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.42 / $1,666.06 / $2,221.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,036.85 / $2,531.23 / $3,370.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,075.15 / $1,817.29 / $7,856.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.44 / $2,553.66 / $8,172.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,904.00 / $2,433.73 / $3,370.13
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,743.00 / $2,403.64 / $3,350.63
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
$3,054.00 / $4,317.00 / $13,909.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,480.30 / $2,464.71 / $3,067.65