go back

Minnesota rates for HCPCS 50830

Urinary undiversion (eg, taking down of ureteroileal conduit, ureterosigmoidostomy or ureteroenterostomy with ureteroureterostomy or ureteroneocystostomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $1,698.24 / $1,698.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $1,995.26 / $3,311.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $7,585.78 / $15,488.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $3,981.07 / $6,456.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $6,456.54 / $15,135.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,548.13 / $5,495.41 / $8,317.64
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $6,165.95 / $12,022.64
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $4,570.88 / $6,918.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $3,019.95 / $5,011.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $3,715.35 / $7,943.28
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
$2,137.96 / $3,715.35 / $7,079.46