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Michigan rates for HCPCS 50610

Ureterolithotomy; upper one-third of ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,197.82 / $4,933.00 / $5,757.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$879.65 / $1,197.82 / $1,197.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,550.54 / $5,311.85 / $7,236.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.66 / $1,507.79 / $2,352.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$873.51 / $1,086.44 / $1,928.23
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$956.95 / $4,933.00 / $5,757.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$956.95 / $1,065.28 / $1,547.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.56 / $747.18 / $1,152.82
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
$1,062.97 / $1,259.82 / $1,637.91