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Michigan rates for HCPCS 53000

Urtt/Urts Xtrnl Spx Pendulous Urethra

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.28 / $2,056.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.56 / $187.28 / $187.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,052.57 / $2,395.96 / $3,263.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.90 / $139.75 / $248.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.99 / $203.48 / $388.45
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.34 / $2,056.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.34 / $167.41 / $243.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.81 / $136.69 / $195.77
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
$164.81 / $200.33 / $255.45