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Michigan rates for HCPCS 50783

Ureteroneocystostomy; with extensive ureteral tailoring

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,428.63 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,048.84 / $1,371.21 / $1,428.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,324.98 / $6,215.85 / $8,467.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.57 / $1,678.19 / $2,643.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,041.47 / $1,313.54 / $2,300.41
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,131.39 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,131.39 / $1,267.15 / $1,845.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.78 / $982.94 / $1,465.13
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
$1,273.96 / $1,520.93 / $2,161.53