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Michigan rates for HCPCS 58262

Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,151.22 / $5,757.00 / $20,994.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,675.67 / $10,127.12 / $13,795.92
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,151.22 / $5,757.00 / $20,994.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,296.00 / $7,849.00 / $9,202.00