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Michigan rates for HCPCS 58263

Vag Hyst 250 Gm/< W/Rmvl Tube Ovary W/Rpr Ntrcl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,186.21 / $5,757.00 / $16,664.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,583.18 / $5,349.96 / $7,288.11
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,042.27 / $5,757.00 / $16,664.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,296.00 / $7,849.00 / $9,202.00