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Minnesota rates for HCPCS 52330

Cysto Manj W/O Rmvl Ureteral Stone

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.62 / $601.50 / $2,525.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.62 / $601.50 / $885.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,108.82 / $5,677.23 / $12,389.06
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$7,949.16 / $12,060.61 / $21,147.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.93 / $961.18 / $2,052.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,509.34 / $2,140.42 / $5,149.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.67 / $1,232.21 / $2,464.56
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,226.98 / $1,956.86 / $4,054.40
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.53 / $1,008.47 / $2,141.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.08 / $1,016.54 / $4,746.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$745.97 / $1,639.01 / $2,524.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,735.00 / $4,974.00 / $8,812.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$745.97 / $1,181.33 / $2,309.71