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Michigan rates for HCPCS 54316

Urethroplasty for second stage hypospadias repair (including urinary diversion) with free skin graft obtained from site other than genitalia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,261.48 / $4,112.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$972.91 / $1,261.48 / $1,261.48
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
$308.67 / $964.59 / $1,780.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$920.44 / $1,171.32 / $2,033.17
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,039.14 / $4,112.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,039.14 / $1,120.66 / $1,654.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.87 / $855.78 / $1,286.27
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
$1,117.88 / $1,349.79 / $1,737.09