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Michigan rates for HCPCS 54380

Plastic operation on penis for epispadias distal to external sphincter;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $4,897.79 / $5,754.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $912.01 / $1,380.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $741.31 / $1,202.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,202.26 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $977.24 / $1,318.26
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $4,073.80 / $5,754.40
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $977.24 / $1,348.96
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $954.99 / $1,318.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $5,495.41 / $8,709.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,023.29 / $1,380.38