go back

Minnesota rates for HCPCS 50520

Closure Nephrocutaneous/Pyelocutaneous Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,063.67 / $1,063.67 / $3,119.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,063.67 / $1,132.90 / $1,651.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,291.69 / $5,045.35 / $10,117.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,962.92 / $3,026.20 / $4,251.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,675.03 / $3,793.53 / $9,125.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,176.04 / $3,657.43 / $5,220.62
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,174.61 / $3,468.19 / $7,185.70
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,915.80 / $3,278.50 / $4,344.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.73 / $1,915.21 / $3,105.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,449.34 / $2,909.60 / $5,841.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$976.00 / $1,947.00 / $4,195.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,487.99 / $2,678.88 / $4,565.57