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Michigan rates for HCPCS 53400

Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,015.75 / $4,112.00 / $11,060.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,496.34 / $4,081.28 / $5,559.83
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.82 / $4,112.00 / $6,906.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,296.00 / $7,849.00 / $9,202.00