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Michigan rates for HCPCS 50391

Instlj Ther Agent Renal Pelvis&/Ureter Via Tub

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.14 / $2,056.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.24 / $124.14 / $157.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.49 / $96.63 / $137.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $137.19 / $240.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.47 / $133.06 / $203.42
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.79 / $2,056.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.14 / $124.79 / $185.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.81 / $136.69 / $195.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,205.00 / $1,844.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.99 / $166.56 / $240.75