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Michigan rates for HCPCS 51580

Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,401.38 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,761.68 / $2,401.38 / $2,401.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,107.54 / $10,615.16 / $14,381.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.82 / $1,958.05 / $3,661.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,748.62 / $2,182.65 / $3,868.54
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,923.79 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,923.79 / $2,131.52 / $3,088.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.44 / $1,500.87 / $2,297.53
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
$2,119.34 / $2,507.73 / $3,239.62