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Michigan rates for HCPCS 54400

Insj Penile Prosthesis Non-Inflatable Semi-Rigid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$675.64 / $4,112.00 / $4,933.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,552.05 / $15,819.32 / $21,550.27
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$536.51 / $4,112.00 / $4,933.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,850.00 / $11,550.00 / $14,085.00