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Michigan rates for HCPCS 52275

Cystourethroscopy W/Internal Urethrotomy Male

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.95 / $2,877.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.72 / $448.31 / $671.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,279.46 / $2,660.82 / $3,624.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.92 / $255.83 / $404.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.78 / $481.85 / $855.33
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.28 / $2,877.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.95 / $498.28 / $733.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.25 / $545.81 / $784.12
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
$545.71 / $698.44 / $904.44