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Michigan rates for HCPCS 51525

Cystotomy; for excision of bladder diverticulum, single or multiple (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,092.18 / $4,933.00 / $4,933.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,038.07 / $4,713.64 / $6,421.27
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$873.23 / $4,933.00 / $4,933.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,296.00 / $7,849.00 / $9,202.00