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Minnesota rates for HCPCS 50620

Ureterolithotomy; middle one-third of ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $851.14 / $7,079.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,023.29 / $1,698.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $8,128.31 / $19,952.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $2,041.74 / $3,235.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $3,235.94 / $7,762.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,754.23 / $4,168.69
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $3,090.30 / $6,025.60
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $2,344.23 / $3,548.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,737.80 / $3,467.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,862.09 / $3,981.07
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
$1,071.52 / $1,862.09 / $3,548.13