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Michigan rates for HCPCS 50940

Deligation of ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,127.01 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.03 / $1,127.01 / $1,127.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,177.78 / $4,869.35 / $6,597.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.16 / $1,260.76 / $2,214.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$822.02 / $1,021.10 / $1,813.59
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$896.28 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$896.28 / $1,001.47 / $1,428.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.66 / $767.99 / $1,156.45
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
$970.46 / $1,177.30 / $1,524.81