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Michigan rates for HCPCS 50770

Transureteroureterostomy, anastomosis of ureter to contralateral ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,461.14 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,072.83 / $1,461.14 / $1,461.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,521.84 / $6,445.66 / $8,780.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.98 / $1,073.46 / $1,786.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,065.54 / $1,318.32 / $2,353.09
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,158.58 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,158.58 / $1,298.34 / $1,884.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.78 / $1,005.70 / $1,494.37
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
$1,262.25 / $1,540.49 / $2,023.16