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Minnesota rates for HCPCS 50715

Ureterolysis W/Worpsg Ureter Retroperit Fibrosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,128.97 / $1,128.97 / $1,128.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,511.39 / $7,386.49 / $14,098.13
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$7,949.16 / $12,060.61 / $21,147.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,851.91 / $4,044.36 / $9,729.25
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,318.39 / $3,697.51 / $7,660.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,558.56 / $2,037.44 / $3,500.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,751.00 / $3,500.00 / $8,152.00