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Michigan rates for HCPCS 58263

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $5,754.40 / $16,595.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $933.25 / $1,479.11
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $4,897.79 / $8,128.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $6,606.93 / $12,302.69