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Minnesota rates for HCPCS 50075

Nephrolithotomy Rmvl Large Staghorn Calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,370.34 / $1,370.34 / $1,370.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,370.34 / $1,461.76 / $2,120.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,647.11 / $6,720.19 / $12,334.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,434.07 / $3,753.46 / $5,266.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,474.34 / $4,927.04 / $11,852.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,823.89 / $4,750.29 / $6,774.90
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,824.39 / $4,504.50 / $9,332.81
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,486.17 / $4,254.58 / $5,638.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,948.31 / $2,485.77 / $3,901.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,904.08 / $3,786.47 / $7,601.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.00 / $3,236.00 / $5,530.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,914.77 / $3,457.33 / $5,864.77