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Michigan rates for HCPCS 53855

Insertion of a temporary prostatic urethral stent, including urethral measurement

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.02 / $524.50 / $799.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.39 / $75.63 / $133.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.54 / $285.99 / $1,020.26
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.13 / $731.61 / $993.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.01 / $645.02 / $928.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.24 / $885.87 / $1,217.81