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Minnesota rates for HCPCS 50976

Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without 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 / $512.86 / $870.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $9,772.37 / $23,442.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,023.29 / $1,659.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,659.59 / $3,890.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,412.54 / $2,089.30
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,584.89 / $3,090.30
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,174.90 / $1,778.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $912.01 / $6,025.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $954.99 / $2,041.74
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
$549.54 / $933.25 / $1,819.70