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Michigan rates for HCPCS 51575

Cystectomy W/Bi Pelvic Lymphadenectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,307.51 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,690.90 / $2,307.51 / $2,307.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,567.44 / $10,000.78 / $13,623.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.24 / $2,021.68 / $2,998.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,674.68 / $2,103.03 / $3,713.41
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,848.23 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,848.23 / $2,041.00 / $2,969.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.18 / $1,559.75 / $2,341.07
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
$2,050.67 / $2,499.73 / $3,345.48