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Minnesota rates for HCPCS 50540

Symphysiotomy for horseshoe kidney with or without pyeloplasty and/or other plastic procedure, unilateral or bilateral (1 operation)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $1,071.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,258.93 / $2,137.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $6,918.31 / $15,135.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,511.89 / $4,073.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $4,073.80 / $9,772.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $3,548.13 / $5,248.07
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,981.07 / $7,762.47
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $2,951.21 / $4,466.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $2,089.30 / $3,467.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $2,344.23 / $5,011.87
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
$1,348.96 / $2,344.23 / $4,466.84