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Michigan rates for HCPCS 54692

Laparoscopy, surgical; orchiopexy for intra-abdominal testis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$959.87 / $4,933.00 / $12,205.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.53 / $959.87 / $1,401.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,452.17 / $6,364.33 / $8,669.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.08 / $1,186.94 / $2,034.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.27 / $874.24 / $1,546.45
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$769.09 / $5,757.00 / $14,631.84
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$769.09 / $899.83 / $1,715.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.66 / $651.15 / $991.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $10,359.00 / $12,767.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$829.88 / $1,027.91 / $1,452.36