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Michigan rates for HCPCS 54250

Nocturnal Penile Tumescence &/Rigidity Test

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.70 / $155.04 / $155.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.37 / $117.82 / $190.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.61 / $166.76 / $252.39
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.90 / $136.16 / $201.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.26 / $102.86 / $147.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.90 / $165.54 / $211.68