go back

Minnesota rates for HCPCS 50930

Closure Ureterocutaneous Fistula W/Visc Rpr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,038.72 / $1,038.72 / $1,038.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,038.72 / $1,105.43 / $1,605.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,038.46 / $4,812.62 / $11,773.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,843.13 / $2,841.34 / $3,986.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,634.60 / $3,736.19 / $8,987.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,142.05 / $3,602.16 / $5,139.07
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,141.73 / $3,415.78 / $7,077.10
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,885.87 / $3,227.29 / $4,276.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.45 / $1,885.43 / $3,378.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,439.14 / $2,863.96 / $5,749.66
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
$1,449.47 / $2,636.86 / $4,415.85