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Michigan rates for HCPCS 53080

Drainage of perineal urinary extravasation; uncomplicated (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$533.14 / $4,112.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.41 / $533.14 / $533.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,986.38 / $2,318.69 / $3,158.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.85 / $412.37 / $705.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.59 / $571.75 / $859.56
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$428.17 / $4,112.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.17 / $476.13 / $730.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.83 / $399.55 / $591.49
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
$479.39 / $564.30 / $726.98