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Minnesota rates for HCPCS 50125

Pyelotomy; with drainage, pyelostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $933.25 / $933.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,122.02 / $1,862.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $6,025.60 / $14,454.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $2,187.76 / $3,548.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $3,548.13 / $8,317.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $3,019.95 / $4,570.88
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $3,388.44 / $6,606.93
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,511.89 / $3,801.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,819.70 / $3,467.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $2,041.74 / $4,365.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $3,467.37 / $8,511.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,995.26 / $3,801.89