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Michigan rates for HCPCS 53235

Excision of urethral diverticulum (separate procedure); male

Facilitymedian $4,898 · 10th–90th $2,512–$5,7540%20%10th90th$4,898Professionalmedian $724 · 10th–90th $589–$1,0000%10%20%10th90th$724$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $4,073.80 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $724.44 / $933.25
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $602.56 / $602.56
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $602.56 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $741.31 / $2,041.74
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $4,073.80 / $5,754.40
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $776.25 / $1,202.26
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $741.31 / $870.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $5,495.41 / $14,125.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $812.83 / $1,071.52