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Michigan rates for HCPCS 52005

Cysto Bladder W/Ureteral Catheterization

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.56 / $2,106.33 / $5,339.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.61 / $259.72 / $376.46
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.11 / $135.11 / $135.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,515.34 / $4,097.25 / $5,551.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.75 / $162.00 / $342.93
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.25 / $169.09 / $186.03
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.45 / $319.60 / $338.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.15 / $269.18 / $451.54
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.56 / $2,740.00 / $5,339.72
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.10 / $277.01 / $432.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.81 / $272.90 / $390.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,524.00 / $5,819.00 / $8,339.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.69 / $383.03 / $501.54