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Michigan rates for HCPCS 54322

1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi, V-flap)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$992.01 / $4,112.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.41 / $992.01 / $1,449.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,111.84 / $3,632.45 / $4,948.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.16 / $760.02 / $1,300.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.01 / $913.34 / $1,597.68
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$793.66 / $4,112.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$793.66 / $888.89 / $1,472.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.66 / $672.35 / $1,021.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,703.38 / $6,978.00 / $9,202.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$876.98 / $1,076.76 / $1,288.53