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Rhode Island rates for HCPCS 50930

Closure Ureterocutaneous Fistula W/Visc Rpr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,706.14 / $3,706.14 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,108.78 / $1,131.58 / $1,592.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,151.02 / $1,354.14 / $2,400.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.00 / $1,472.95 / $2,280.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,649.00 / $4,915.00 / $7,205.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.36 / $1,576.16 / $2,425.13