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Minnesota rates for HCPCS 50620

Urtrolithotomy Middle One-Third Ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$852.96 / $852.96 / $6,781.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.96 / $906.81 / $1,317.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,805.38 / $6,746.36 / $13,675.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,514.36 / $2,334.52 / $3,275.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,165.46 / $3,070.89 / $7,387.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,760.68 / $2,960.73 / $4,224.12
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.36 / $2,807.53 / $5,816.89
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,550.12 / $2,652.71 / $3,515.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.89 / $1,675.58 / $3,378.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,173.01 / $2,349.81 / $4,717.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,751.00 / $3,500.00 / $8,152.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,190.92 / $2,163.48 / $3,623.11