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Michigan rates for HCPCS 52320

Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.54 / $4,933.00 / $7,503.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,615.68 / $4,220.59 / $5,749.60
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.50 / $4,933.00 / $7,503.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,524.00 / $5,819.00 / $8,339.00