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Michigan rates for HCPCS 58275

Vaginal hysterectomy, with total or partial vaginectomy;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,178.45 / $4,933.00 / $4,933.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,548.91 / $5,309.95 / $7,233.61
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,035.15 / $4,933.00 / $4,933.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,296.00 / $7,849.00 / $9,202.00