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Michigan rates for HCPCS 51535

Cystotomy for excision, incision, or repair of ureterocele

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $4,897.79 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $831.76 / $1,412.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $234.42 / $724.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $1,174.90 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $891.25 / $1,288.25
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,290.87 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $891.25 / $1,230.27
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $891.25 / $1,258.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $5,011.87 / $9,332.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,000.00 / $1,318.26