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Michigan rates for HCPCS 51040

Cystostomy, cystotomy with drainage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$368.27 / $2,007.09 / $6,906.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,138.73 / $2,496.54 / $3,400.98
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.48 / $2,007.09 / $6,907.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,524.00 / $5,819.00 / $8,339.00