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Minnesota rates for HCPCS 50961

Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.63 / $372.55 / $2,168.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.42 / $8,328.96 / $18,388.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$947.55 / $1,343.74 / $3,232.55
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$770.29 / $1,228.50 / $2,545.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$465.11 / $629.61 / $4,746.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,735.00 / $4,974.00 / $8,812.00