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Minnesota rates for HCPCS 50553

Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $371.54 / $7,585.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $9,772.37 / $23,442.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,412.54 / $3,388.44
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,348.96 / $2,630.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $645.65 / $7,762.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $5,248.07 / $13,489.63