go back

Michigan rates for HCPCS 54312

Urethroplasty for second stage hypospadias repair (including urinary diversion); greater than 3 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,038.58 / $4,112.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.08 / $1,038.58 / $1,090.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,185.19 / $3,718.08 / $5,065.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.67 / $765.96 / $1,363.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.85 / $992.07 / $1,672.43
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.99 / $4,112.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$830.99 / $924.08 / $1,543.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.66 / $720.60 / $1,078.88
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
$930.40 / $1,113.60 / $1,423.16