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Minnesota rates for HCPCS 50400

Pyeloplasty Simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,088.80 / $1,088.80 / $1,088.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,088.80 / $1,181.27 / $1,683.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,647.11 / $5,923.26 / $9,877.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,933.77 / $2,981.07 / $4,182.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,761.78 / $3,916.55 / $9,421.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,246.06 / $3,776.05 / $5,388.61
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,245.13 / $3,580.67 / $7,418.74
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,977.44 / $3,384.00 / $4,484.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,529.59 / $2,137.21 / $6,482.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,497.89 / $3,014.96 / $6,052.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,293.00 / $6,652.00 / $9,810.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,495.56 / $2,775.89 / $4,682.06