go back

Minnesota rates for HCPCS 50957

Ureteral Endoscopy W/Dest&/Inc W/Wo Biopsy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.22 / $412.26 / $2,168.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.22 / $412.26 / $628.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.01 / $8,328.96 / $18,388.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$610.28 / $1,008.81 / $1,513.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,049.46 / $1,488.27 / $3,580.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$754.11 / $1,311.38 / $1,841.51
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$853.14 / $1,360.63 / $2,819.08
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.40 / $1,063.31 / $1,703.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$518.09 / $696.72 / $4,746.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.07 / $1,194.61 / $2,606.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,735.00 / $4,974.00 / $8,812.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$571.12 / $1,035.05 / $1,733.36