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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
$304.61 / $383.58 / $2,168.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$647.27 / $5,677.23 / $12,389.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$976.18 / $1,384.35 / $3,330.24
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$793.57 / $1,265.63 / $2,622.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$485.82 / $648.25 / $3,307.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,296.00 / $3,500.00 / $6,361.00