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Minnesota rates for HCPCS 50405

Pyeloplasty Complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,313.29 / $1,313.29 / $1,313.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,313.29 / $1,425.30 / $2,031.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,647.11 / $6,564.27 / $11,881.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,332.34 / $3,595.50 / $5,044.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,329.47 / $4,721.60 / $11,358.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,707.64 / $4,552.22 / $6,496.01
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,706.62 / $4,316.68 / $8,943.66
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,383.83 / $4,079.44 / $5,406.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,843.15 / $2,576.32 / $6,213.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,806.62 / $3,626.08 / $7,279.70
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
$1,834.20 / $3,818.02 / $5,590.95