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Michigan rates for HCPCS 50390

Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $2,041.74 / $4,897.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $208.93 / $208.93
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $2,041.74 / $4,897.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $1,862.09 / $4,073.80