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Minnesota rates for HCPCS 51050

Cystolithotomy, cystotomy with removal of calculus, without vesical neck resection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.07 / $450.07 / $6,575.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$934.64 / $8,328.96 / $18,388.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,147.16 / $1,626.82 / $3,913.54
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$932.56 / $1,487.30 / $3,081.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.78 / $929.50 / $7,770.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,735.00 / $4,974.00 / $8,812.00