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Michigan rates for HCPCS 50980

Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus

Facilitymedian $4,266 · 10th–90th $2,042–$5,7540%20%10th90th$4,266Professionalmedian $407 · 10th–90th $331–$7940%10%20%10th90th$407$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,041.74 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $398.11 / $512.86
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $104.71 / $104.71
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $794.33 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $426.58 / $1,122.02
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $2,041.74 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $426.58 / $676.08
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $416.87 / $489.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $5,495.41 / $14,125.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $457.09 / $602.56