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Michigan rates for HCPCS 37788

Penile revascularization, artery, with or without vein graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,662.50 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,226.70 / $1,662.50 / $1,724.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,981.57 / $6,971.73 / $9,445.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.32 / $1,174.00 / $2,008.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$997.96 / $1,587.36 / $2,355.40
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,472.18 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,420.26 / $1,472.18 / $1,996.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.87 / $1,132.66 / $1,691.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,906.00 / $4,645.00 / $6,740.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,449.79 / $1,827.89 / $2,496.56