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Michigan rates for HCPCS 50951

Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.66 / $2,056.00 / $4,933.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,589.12 / $1,854.99 / $2,527.00
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.59 / $2,056.00 / $4,933.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.00 / $3,005.00 / $4,504.00