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Michigan rates for HCPCS 52275

Cystourethroscopy, with internal urethrotomy; male

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $2,884.03 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $489.78 / $758.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $229.09 / $229.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $371.54 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $407.38 / $870.96
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $2,884.03 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $549.54 / $758.58
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $478.63 / $851.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $4,365.16 / $7,244.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $467.74 / $831.76