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Michigan rates for HCPCS 50553

Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $2,041.74 / $4,897.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $93.33 / $691.83
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $2,041.74 / $4,897.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $5,248.07 / $12,302.69