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Michigan rates for HCPCS 50065

Nephrolithotomy; secondary surgical operation for calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,532.03 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,124.10 / $1,532.03 / $1,532.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,724.39 / $6,671.98 / $9,039.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.66 / $1,923.22 / $3,506.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,115.83 / $1,394.08 / $2,466.07
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,221.14 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,221.14 / $1,359.60 / $1,921.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.78 / $1,039.81 / $1,548.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,906.00 / $4,645.00 / $6,327.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,322.88 / $1,628.46 / $2,079.61