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Michigan rates for HCPCS 53405

Urethroplasty 2nd Stage W/Urinary Diversion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,108.41 / $2,877.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$814.54 / $1,108.41 / $1,108.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,071.96 / $4,753.21 / $6,475.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.93 / $908.06 / $1,371.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$808.91 / $1,006.88 / $1,784.10
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$885.71 / $2,877.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.62 / $890.17 / $1,429.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.66 / $767.99 / $1,156.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,296.00 / $7,849.00 / $9,202.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$991.63 / $1,177.16 / $1,474.14