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Michigan rates for HCPCS 50562

Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with resection of tumor

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $2,884.03 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $616.60 / $1,047.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $169.82 / $537.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $1,230.27 / $1,288.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $691.83 / $954.99
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $2,884.03 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $676.08 / $912.01
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $691.83 / $954.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $3,801.89 / $19,054.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $741.31 / $1,000.00