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Minnesota rates for HCPCS 50740

Ureteropyelostomy Anast Ureter Renal Pelvis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,121.58 / $1,121.58 / $1,121.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,121.58 / $1,196.27 / $1,742.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,293.11 / $5,435.01 / $10,683.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,072.03 / $3,196.29 / $4,488.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,820.74 / $4,000.16 / $9,622.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,294.33 / $3,856.66 / $5,504.40
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,293.06 / $3,657.11 / $7,577.11
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,019.94 / $3,456.72 / $4,580.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,475.24 / $2,019.59 / $3,493.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,606.03 / $3,071.89 / $6,167.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.00 / $3,236.00 / $5,530.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,630.55 / $3,085.21 / $5,427.56