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Minnesota rates for HCPCS 50974

Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $436.52 / $2,238.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $524.81 / $891.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $9,772.37 / $23,442.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,047.13 / $1,698.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,659.59 / $3,981.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,412.54 / $2,137.96
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,584.89 / $3,090.30
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,202.26 / $1,819.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $933.25 / $6,025.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $954.99 / $2,089.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $4,265.80 / $13,489.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $954.99 / $1,819.70