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Michigan rates for HCPCS 50433

Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, new access

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.29 / $2,354.07 / $4,933.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,521.77 / $2,098.12 / $3,281.26
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,213.59 / $1,592.87 / $2,070.29
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.07 / $1,758.50 / $4,933.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,524.00 / $5,819.00 / $8,339.00