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Michigan rates for HCPCS 50431

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; existing access

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.57 / $1,521.80 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.16 / $137.11 / $396.41
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.33 / $61.33 / $61.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$703.59 / $986.85 / $1,543.34
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$570.82 / $718.09 / $973.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.73 / $98.60 / $133.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.69 / $111.69 / $111.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.20 / $178.21 / $518.86
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.69 / $1,924.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.43 / $155.69 / $405.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.99 / $297.02 / $418.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.00 / $2,704.00 / $4,504.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.58 / $232.78 / $421.41