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Michigan rates for HCPCS 50434

Convert nephrostomy catheter to 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, via pre-existing nephrostomy tract

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.93 / $2,056.00 / $4,933.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.58 / $759.10 / $1,187.16
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$400.09 / $511.50 / $710.15
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$859.90 / $2,056.00 / $4,933.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.00 / $3,005.00 / $4,504.00