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Michigan rates for HCPCS 58291

Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $4,897.79 / $5,754.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,380.38 / $2,290.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $1,862.09 / $1,862.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,862.09 / $1,949.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,380.38 / $2,041.74
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $4,897.79 / $6,918.31
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,479.11 / $2,238.72
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,380.38 / $1,995.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $7,413.10 / $12,882.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,548.82 / $2,041.74