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Michigan rates for HCPCS 50974

Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$596.94 / $2,056.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.78 / $596.94 / $596.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,490.25 / $4,074.17 / $5,550.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.45 / $697.17 / $1,098.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.64 / $545.82 / $960.26
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$481.52 / $2,056.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.52 / $529.20 / $781.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.63 / $481.03 / $690.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,527.00 / $4,857.00 / $6,327.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.25 / $639.75 / $826.19