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Michigan rates for HCPCS 50725

Ureterolysis for retrocaval ureter, with reanastomosis of upper urinary tract or vena cava

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,397.41 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,025.84 / $1,397.41 / $1,397.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,334.44 / $6,217.48 / $8,423.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.95 / $1,641.84 / $2,739.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,018.49 / $1,267.98 / $2,248.52
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,109.84 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,109.84 / $1,240.75 / $1,773.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.78 / $948.05 / $1,400.27
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
$1,208.76 / $1,486.49 / $1,935.69