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Michigan rates for HCPCS 50430

Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; new access

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.75 / $2,056.00 / $4,933.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$514.79 / $722.06 / $1,129.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.85 / $258.85 / $258.85
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $2,056.00 / $4,933.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.00 / $3,005.00 / $4,504.00