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Michigan rates for HCPCS 58290

Vaginal Hysterectomy Uterus > 250 Gm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,375.02 / $4,933.00 / $5,757.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,005.86 / $1,266.30 / $1,432.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,054.90 / $8,235.20 / $11,218.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.74 / $1,076.26 / $1,841.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,018.77 / $1,265.25 / $2,363.44
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,210.80 / $4,933.00 / $5,757.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,186.30 / $1,266.30 / $1,949.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.47 / $847.21 / $1,352.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,069.00 / $8,847.00 / $10,652.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,254.90 / $1,518.55 / $1,903.42