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Michigan rates for HCPCS 58152

Tot Abd Hyst W/Wo Rmvl Tube Ovary W/Colpurethrxy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,477.66 / $4,933.00 / $6,853.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,059.74 / $1,477.66 / $1,539.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,782.14 / $6,749.50 / $9,194.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.83 / $1,203.79 / $2,037.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.13 / $1,373.93 / $2,539.44
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,312.54 / $4,933.00 / $6,853.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,312.54 / $1,406.60 / $1,980.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.98 / $910.74 / $1,496.97
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
$1,368.37 / $1,639.38 / $2,052.55