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Michigan rates for HCPCS 58267

Vag Hyst 250 Gm/< W/Colpo-Urtcstopexy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,276.68 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.78 / $1,276.68 / $1,329.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,846.64 / $5,657.49 / $7,707.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.14 / $1,351.28 / $1,781.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$950.36 / $1,167.22 / $2,197.82
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,111.04 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,111.04 / $1,214.14 / $1,792.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.57 / $795.96 / $1,274.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,296.00 / $7,849.00 / $9,202.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,171.31 / $1,400.98 / $1,758.29