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Michigan rates for HCPCS 50976

Ureteral Endosc Via Ureterot W/Dest&/Inc W/Wo Bx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.71 / $2,056.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.50 / $587.71 / $587.71
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
$130.66 / $653.32 / $1,147.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.64 / $538.65 / $946.40
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$474.40 / $2,056.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.40 / $521.95 / $776.30
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
$531.85 / $618.21 / $812.69