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Michigan rates for HCPCS 52300

Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.19 / $2,877.00 / $4,933.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,368.30 / $2,764.51 / $3,766.03
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$290.58 / $2,877.00 / $4,933.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,524.00 / $5,819.00 / $8,339.00