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Michigan rates for HCPCS 54520

Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.29 / $4,112.00 / $5,918.86
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$7,650.63 / $7,650.63 / $7,650.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,785.75 / $5,586.42 / $7,610.23
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,227.97 / $3,523.66 / $5,159.93
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.09 / $4,112.00 / $5,772.72
Health Alliance Plan
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,862.75 / $7,650.63 / $7,650.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,296.00 / $7,849.00 / $9,202.00