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Michigan rates for HCPCS 58200

Total abdominal hysterectomy, including partial vaginectomy, with para-aortic and pelvic lymph node sampling, with or without removal of tube(s), with or without removal of ovary(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,598.63 / $4,933.00 / $6,853.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,463.26 / $7,533.15 / $10,206.21
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,381.75 / $4,933.00 / $6,853.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,906.00 / $4,645.00 / $6,327.00