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Michigan rates for HCPCS 50800

Ureteroenterostomy, direct anastomosis of ureter to intestine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,175.81 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$862.31 / $1,175.81 / $1,175.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,339.05 / $5,064.97 / $6,899.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.41 / $1,378.91 / $2,171.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$853.88 / $1,070.78 / $1,886.00
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$940.35 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$940.35 / $1,040.05 / $1,491.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.66 / $807.10 / $1,200.92
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
$1,008.78 / $1,225.30 / $1,591.34