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Michigan rates for HCPCS 53085

Drainage of perineal urinary extravasation; complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$822.37 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.71 / $822.37 / $822.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,205.59 / $2,574.58 / $3,507.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.50 / $821.43 / $1,082.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$601.67 / $802.70 / $1,327.59
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$667.32 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.32 / $732.91 / $1,059.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.66 / $551.22 / $817.97
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
$738.25 / $861.00 / $1,094.85