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Michigan rates for HCPCS 52250

Cystourethroscopy with insertion of radioactive substance, with or without biopsy or fulguration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $4,897.79 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $251.19 / $426.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $218.78 / $354.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $354.81 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $288.40 / $398.11
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $724.44 / $6,918.31
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $281.84 / $380.19
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $288.40 / $398.11
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
$245.47 / $309.03 / $416.87