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Michigan rates for HCPCS 55801

Prostatectomy Perineal Subtotal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,389.46 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.79 / $1,389.46 / $1,389.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,191.92 / $6,051.36 / $8,198.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.93 / $1,136.54 / $1,748.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,013.22 / $1,260.69 / $2,237.00
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,105.51 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,105.51 / $1,234.40 / $1,765.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.87 / $950.53 / $1,425.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,906.00 / $4,645.00 / $6,327.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,138.32 / $1,445.31 / $1,845.93