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Minnesota rates for HCPCS 50840

Replacement of all or part of ureter by intestine segment, including intestine anastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,148.15 / $1,148.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,380.38 / $2,290.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $6,918.31 / $15,135.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,754.23 / $4,466.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $4,365.16 / $10,471.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $3,801.89 / $5,623.41
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $4,265.80 / $8,317.64
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $3,162.28 / $4,786.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $2,089.30 / $3,630.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $2,511.89 / $5,370.32
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
$1,479.11 / $2,511.89 / $4,786.30