go back

Michigan rates for HCPCS 50972

Ndsc Ureterotomy Urtrl Cathj W/Wo Dilat Ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.32 / $2,056.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.24 / $452.32 / $452.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$793.98 / $926.81 / $1,262.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.67 / $528.36 / $881.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.16 / $413.42 / $727.64
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.67 / $2,056.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.67 / $400.71 / $597.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.75 / $380.49 / $541.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.00 / $3,005.00 / $4,504.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.57 / $485.59 / $614.47