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Michigan rates for HCPCS 51565

Cystectomy, partial, with reimplantation of ureter(s) into bladder (ureteroneocystostomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,633.97 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,199.46 / $1,518.22 / $1,633.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,114.02 / $7,136.90 / $9,722.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.91 / $1,259.49 / $2,015.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,190.36 / $1,497.05 / $2,631.79
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,314.75 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,314.75 / $1,381.57 / $2,104.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.78 / $1,136.18 / $1,702.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,906.00 / $4,645.00 / $6,327.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,423.75 / $1,689.87 / $2,170.64