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Wyoming rates for HCPCS 50930

Closure of ureterovisceral fistula (including visceral repair)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,098.75 / $1,098.75 / $1,098.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,144.00 / $2,573.00 / $3,216.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.13 / $1,837.90 / $2,580.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,788.05 / $2,919.94 / $4,771.80