go back

Michigan rates for HCPCS 50250

Ablation, open, 1 or more renal mass lesion(s), cryosurgical, including intraoperative ultrasound guidance and monitoring, if performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,542.33 / $4,933.00 / $6,853.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,132.43 / $1,542.33 / $1,542.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,686.16 / $6,637.46 / $9,042.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.45 / $1,189.22 / $3,023.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,124.26 / $1,401.90 / $2,484.27
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,238.34 / $4,933.00 / $6,853.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,238.34 / $1,369.15 / $1,990.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.87 / $1,043.22 / $1,558.07
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
$1,331.60 / $1,625.95 / $2,136.51