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Michigan rates for HCPCS 54304

Plastic operation on penis for correction of chordee or for first stage hypospadias repair with or without transplantation of prepuce and/or skin flaps

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$948.80 / $4,112.00 / $7,503.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.98 / $948.80 / $2,277.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,394.75 / $3,962.70 / $5,398.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.31 / $699.66 / $1,287.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.30 / $919.59 / $1,529.74
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$761.22 / $4,112.00 / $6,906.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.22 / $852.56 / $1,578.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.66 / $637.37 / $967.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,069.00 / $8,847.00 / $10,652.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$849.50 / $1,032.71 / $1,245.80