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Michigan rates for HCPCS 55874

Transperineal Plmt Biodegradable Matrl 1/Mlt Njx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.90 / $3,507.60 / $9,665.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.07 / $2,703.09 / $4,047.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,181.20 / $7,220.06 / $11,365.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.57 / $232.28 / $281.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.83 / $580.60 / $4,643.02
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.64 / $3,543.55 / $9,545.23
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.84 / $3,507.60 / $4,449.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,192.90 / $2,746.14 / $3,955.10
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
$3,489.21 / $4,505.05 / $5,762.33