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Michigan rates for HCPCS 54840

Excision Spermatocele W/Wo Epididymectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.45 / $1,848.32 / $4,933.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,200.50 / $4,903.25 / $6,679.57
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,266.58 / $3,092.75 / $4,528.93
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.25 / $2,106.33 / $4,933.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,524.00 / $5,819.00 / $8,339.00