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Michigan rates for HCPCS 50040

Nephrostomy, nephrotomy with drainage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $4,073.80 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $977.24 / $1,737.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $1,380.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $2,089.30 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,096.48 / $1,548.82
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $4,073.80 / $5,754.40
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,071.52 / $1,445.44
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,071.52 / $1,513.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $3,801.89 / $7,244.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,202.26 / $1,548.82