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Michigan rates for HCPCS 52001

Cysto W/Irrig & Evac Multple Obstructing Clots

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.36 / $2,877.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.18 / $374.77 / $551.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,842.02 / $2,146.94 / $2,908.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.92 / $402.59 / $487.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.52 / $439.81 / $689.11
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.25 / $2,877.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.36 / $419.92 / $695.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.90 / $445.76 / $643.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,527.00 / $4,857.00 / $6,327.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.05 / $530.00 / $724.95