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Michigan rates for HCPCS 50526

Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; thoracic approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,039.30 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,434.48 / $2,039.30 / $2,039.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,008.82 / $8,169.03 / $11,067.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.55 / $2,367.90 / $4,617.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,421.61 / $1,742.29 / $3,164.37
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,409.81 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,409.81 / $1,689.89 / $2,365.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.09 / $1,381.32 / $2,081.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,906.00 / $4,645.00 / $6,327.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,610.52 / $1,929.66 / $2,523.79