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Michigan rates for HCPCS 53425

Urtp 2-Stg Rcnstj/Rpr Prostat/Urethra 2nd Stage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,188.14 / $2,877.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.61 / $1,188.14 / $1,188.14
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
$265.50 / $971.41 / $1,816.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$866.26 / $1,079.91 / $1,914.00
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$950.49 / $2,877.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$950.49 / $1,055.68 / $1,534.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.44 / $739.93 / $1,193.66
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
$1,037.83 / $1,255.79 / $1,630.98