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Michigan rates for HCPCS 52301

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

Facilitymedian $4,571 · 10th–90th $2,512–$5,7540%20%10th90th$4,571Professionalmedian $331 · 10th–90th $269–$4680%20%10th90th$331$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $4,073.80 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $323.59 / $426.58
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $407.38 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $346.74 / $912.01
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $4,073.80 / $5,754.40
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $346.74 / $562.34
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $338.84 / $398.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,818.38 / $4,897.79 / $9,332.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $380.19 / $489.78