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Michigan rates for HCPCS 57410

Pelvic examination under anesthesia (other than local)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.65 / $2,877.00 / $9,130.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,636.91 / $4,245.37 / $5,783.36
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.70 / $2,877.00 / $9,130.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,317.71 / $5,708.00 / $8,884.00