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Oklahoma rates for HCPCS 50930

Closure of ureterovisceral fistula (including visceral repair)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,233.81 / $3,684.00 / $18,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,233.81 / $1,233.81 / $1,254.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,177.05 / $1,484.09 / $1,863.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.00 / $1,591.11 / $5,882.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.85 / $1,435.71 / $8,172.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.00 / $1,760.00 / $6,155.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$953.45 / $1,263.59 / $2,019.47