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Michigan rates for HCPCS 38572

Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single or multiple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $4,897.79 / $8,317.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,348.96 / $1,348.96
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $4,897.79 / $8,317.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $10,000.00 / $21,379.62