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Michigan rates for HCPCS 52214

Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $2,884.03 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $588.84 / $1,258.93
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $181.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $257.04 / $257.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $257.04 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $457.09 / $1,071.52
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $2,884.03 / $6,456.54
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $707.95 / $1,288.25
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $446.68 / $1,071.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $5,011.87 / $9,332.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $549.54 / $1,174.90