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Minnesota rates for HCPCS 50125

Pyelotomy W/Drainage Pyelostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$927.79 / $927.79 / $927.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$927.79 / $985.60 / $1,432.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,647.11 / $5,390.90 / $8,560.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,647.78 / $2,540.19 / $3,564.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,356.65 / $3,342.03 / $8,039.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,916.36 / $3,222.13 / $4,597.60
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,915.79 / $3,055.42 / $6,330.48
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,687.17 / $2,887.25 / $3,826.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,317.55 / $1,751.00 / $3,378.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,316.90 / $2,554.44 / $5,128.27
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
$1,299.39 / $2,351.88 / $3,949.32