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Michigan rates for HCPCS 53420

Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; first stage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,066.98 / $4,112.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$784.29 / $1,066.98 / $1,066.98
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
$222.05 / $1,059.67 / $1,396.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$778.69 / $962.62 / $1,719.46
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$841.84 / $4,112.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$841.84 / $947.90 / $1,376.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.56 / $743.77 / $1,134.24
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
$893.24 / $1,096.16 / $1,409.73