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Michigan rates for HCPCS 52265

Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $2,884.03 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $338.84 / $537.03
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $323.59 / $323.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $40.74 / $239.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $239.88 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $338.84 / $588.84
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $2,884.03 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $407.38 / $588.84
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $338.84 / $524.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $2,511.89 / $5,495.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $346.74 / $630.96