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Minnesota rates for HCPCS 50572

Renal endoscopy through nephrotomy or pyelotomy, 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
$494.14 / $494.14 / $3,119.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.14 / $531.67 / $768.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.01 / $1,392.67 / $2,427.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$876.02 / $1,355.75 / $1,903.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,250.76 / $1,773.74 / $4,266.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,016.98 / $1,710.10 / $2,439.88
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,016.78 / $1,621.62 / $3,359.81
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.36 / $1,532.22 / $2,030.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.19 / $1,040.51 / $2,872.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.08 / $1,376.05 / $2,762.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,755.00 / $2,872.00 / $4,241.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$702.38 / $1,376.05 / $2,121.69