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Minnesota rates for HCPCS 50920

Closure Ureterocutaneous Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$834.36 / $834.36 / $834.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$834.36 / $884.30 / $1,286.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,637.49 / $3,860.50 / $11,725.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,480.58 / $2,282.44 / $3,202.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,119.98 / $3,006.39 / $7,232.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,723.97 / $2,898.54 / $4,136.05
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,723.39 / $2,748.56 / $5,694.71
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,517.80 / $2,597.40 / $3,442.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,165.99 / $1,640.74 / $3,378.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,179.00 / $2,292.28 / $4,601.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,751.00 / $3,500.00 / $8,152.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,146.84 / $2,180.86 / $3,534.40