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Michigan rates for HCPCS 54326

1-Stage Distal Hypospadias Repair (With Or Without Chordee Or Circumcision); With Urethroplasty By Local Skin Flaps And Mobilization Of Urethra

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,195.50 / $4,112.00 / $7,265.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$922.40 / $1,195.50 / $1,210.71
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
$267.58 / $1,100.23 / $1,566.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.65 / $1,095.57 / $1,925.78
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$951.47 / $4,112.00 / $5,756.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$951.47 / $1,063.24 / $1,632.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.78 / $801.75 / $1,203.79
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
$1,059.29 / $1,246.22 / $1,608.04