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Minnesota rates for HCPCS 50688

Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.39 / $74.39 / $2,168.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.39 / $78.80 / $113.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$878.48 / $3,472.79 / $7,238.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.91 / $205.24 / $298.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.67 / $267.55 / $643.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.66 / $260.32 / $373.48
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.37 / $244.61 / $506.80
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.06 / $234.54 / $310.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.53 / $158.88 / $4,939.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.20 / $205.12 / $411.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,296.00 / $3,500.00 / $6,361.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.80 / $206.01 / $316.27