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Michigan rates for HCPCS 57335

Vaginoplasty for intersex state

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,404.16 / $4,112.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,026.47 / $1,404.16 / $3,020.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,508.13 / $2,927.74 / $3,988.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.97 / $1,320.64 / $1,883.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.26 / $1,281.83 / $2,419.03
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,183.94 / $4,112.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,183.94 / $1,334.17 / $2,070.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.47 / $861.20 / $1,413.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,524.00 / $5,574.00 / $8,339.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,263.35 / $1,530.46 / $2,047.96