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Michigan rates for HCPCS 55812

Prostatectomy Perineal Radical W/Lymph Node Bx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,038.60 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,570.22 / $2,038.60 / $2,038.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,776.75 / $9,077.81 / $12,366.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.70 / $2,271.26 / $3,108.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,484.10 / $1,856.56 / $3,281.87
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,632.01 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,632.01 / $1,808.65 / $2,615.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.18 / $1,374.66 / $2,082.89
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
$1,769.37 / $2,185.51 / $2,763.01