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Michigan rates for HCPCS 54620

Fixation Contralateral Testis Separate Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.45 / $4,112.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.39 / $339.53 / $384.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,368.30 / $2,764.51 / $3,766.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.06 / $447.69 / $746.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.00 / $344.95 / $609.96
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$303.80 / $4,112.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.80 / $337.24 / $493.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.27 / $281.02 / $418.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,524.00 / $5,819.00 / $8,339.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.22 / $410.84 / $684.14