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Michigan rates for HCPCS 55120

Removal of foreign body in scrotum

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $2,884.03 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $407.38 / $616.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $338.84 / $537.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $512.86 / $537.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $407.38 / $602.56
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $2,884.03 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $426.58 / $602.56
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $407.38 / $575.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $4,365.16 / $7,244.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $446.68 / $602.56