go back

Michigan rates for HCPCS 0714T

Transperineal laser ablation of benign prostatic hyperplasia, including imaging guidance; prostate volume less than 50 mL

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,273.03 / $2,877.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.67 / $1,273.03 / $1,471.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,753.18 / $4,753.18 / $4,753.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,515.52 / $4,943.31 / $6,416.79
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,877.00 / $2,877.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$857.05 / $1,273.03 / $1,471.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00
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
$1,559.69 / $1,915.94 / $2,477.76