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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
$2,041.74 / $2,041.74 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $501.19 / $851.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $436.52 / $691.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $1,047.13 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $562.34 / $776.25
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $2,041.74 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $549.54 / $741.31
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $562.34 / $776.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $3,981.07 / $11,481.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $602.56 / $812.83