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Minnesota rates for HCPCS 52330

Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $602.56 / $645.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $537.03 / $891.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $6,606.93 / $15,848.93
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$8,128.31 / $14,454.40 / $37,153.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $912.01 / $1,905.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $2,238.72 / $5,370.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $1,202.26 / $2,454.71
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $2,137.96 / $4,265.80
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $1,000.00 / $2,187.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $912.01 / $7,762.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,380.38 / $2,511.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $5,248.07 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $831.76 / $1,949.84