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Michigan rates for HCPCS 54410

Removal and replacement of all component(s) of a multi-component, inflatable penile prosthesis at the same operative session

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,094.78 / $4,112.00 / $4,933.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$547.39 / $547.39 / $547.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,748.82 / $25,387.42 / $34,584.65
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$871.29 / $4,112.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$547.39 / $547.39 / $547.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,489.00 / $12,457.00 / $14,805.00