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Michigan rates for HCPCS 50557

Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without biopsy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $2,041.74 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $426.58 / $741.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $758.58 / $758.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $512.86 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $467.74 / $870.96
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $2,041.74 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $467.74 / $645.65
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $478.63 / $691.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $7,244.36 / $19,054.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $501.19 / $691.83