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Michigan rates for HCPCS 50705

Ureteral Embolization/Occlusion W/Img Gid Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.65 / $2,255.94 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.61 / $1,425.81 / $2,255.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,083.88 / $9,766.79 / $15,274.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.29 / $248.37 / $313.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.11 / $535.80 / $2,746.58
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,626.39 / $2,056.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.65 / $1,626.39 / $2,499.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,429.57 / $1,789.51 / $2,611.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.00 / $1,428.00 / $2,029.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,900.21 / $2,337.92 / $3,371.35