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Minnesota rates for HCPCS 50630

Ureterolithotomy; lower one-third of ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.86 / $842.86 / $6,781.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$842.86 / $895.46 / $1,301.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,766.01 / $6,676.58 / $13,675.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,496.81 / $2,307.61 / $3,237.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,140.19 / $3,035.06 / $7,301.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,739.61 / $2,926.18 / $4,173.56
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,739.82 / $2,774.77 / $5,749.01
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,531.56 / $2,620.96 / $3,473.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.98 / $1,655.66 / $3,378.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,160.03 / $2,320.48 / $4,658.59
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
$1,160.03 / $2,485.28 / $3,577.89