go back

Michigan rates for HCPCS 51020

Cystotomy or cystostomy, with fulguration and/or insertion of radioactive material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$595.80 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.78 / $595.80 / $595.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,368.30 / $2,764.51 / $3,766.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.47 / $442.89 / $757.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.94 / $537.91 / $961.21
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$475.11 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.11 / $531.54 / $768.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.60 / $404.59 / $619.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,524.00 / $5,819.00 / $8,339.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.98 / $633.84 / $826.64