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Minnesota rates for HCPCS 50953

Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $380.19 / $380.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $6,606.93 / $15,848.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,445.44 / $3,467.37
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,380.38 / $2,754.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $691.83 / $4,677.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,467.37 / $8,912.51