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Minnesota rates for HCPCS 50120

Pyelotomy W/Exploration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$896.75 / $896.75 / $896.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$896.75 / $952.60 / $1,384.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,647.11 / $5,251.30 / $8,268.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,592.62 / $2,455.15 / $3,444.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,277.48 / $3,229.75 / $7,769.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,852.46 / $3,113.89 / $4,444.30
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,851.43 / $2,952.77 / $6,117.80
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,630.91 / $2,790.98 / $3,698.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,268.42 / $1,751.00 / $3,378.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,236.76 / $2,468.73 / $4,956.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,751.00 / $3,500.00 / $8,152.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,252.46 / $2,272.96 / $3,806.46