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Minnesota rates for HCPCS 50580

Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $562.34 / $2,238.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $676.08 / $1,122.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $9,772.37 / $23,442.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,348.96 / $2,137.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $2,137.96 / $5,128.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,819.70 / $2,754.23
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $2,041.74 / $3,981.07
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,548.82 / $2,290.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,174.90 / $6,025.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,230.27 / $2,691.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,467.37 / $13,489.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,230.27 / $2,344.23