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Minnesota rates for HCPCS 50405

Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; complicated (congenital kidney abnormality, secondary pyeloplasty, solitary kidney, calycoplasty)

Facilitymedian $5,129 · 10th–90th $1,862–$11,7490%5%10%10th90th$5,129Professionalmedian $2,951 · 10th–90th $1,413–$5,2480%5%10%10th90th$2,951$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,318.26 / $1,318.26
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,479.11 / $3,467.37
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,754.23 / $6,918.31 / $15,488.17
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,187.76 / $3,311.31 / $5,128.61
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,548.13 / $5,011.87 / $11,748.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $4,265.80 / $6,456.54
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,890.45 / $4,786.30 / $9,332.54
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,398.83 / $3,548.13 / $5,370.32
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $2,754.23 / $9,332.54
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $2,818.38 / $6,165.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $6,025.60 / $10,715.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,584.89 / $2,884.03 / $5,495.41