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Minnesota rates for HCPCS 50972

Ureteral endoscopy through ureterotomy, 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
$331.13 / $331.13 / $2,238.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $398.11 / $676.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $6,606.93 / $15,848.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $794.33 / $1,258.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,258.93 / $3,019.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,071.52 / $1,621.81
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,202.26 / $2,344.23
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $912.01 / $1,380.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $707.95 / $3,981.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $724.44 / $1,584.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,884.03 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $724.44 / $1,380.38