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Michigan rates for HCPCS 58291

Vag Hyst > 250 Gm Rmvl Tube&/Ovary

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,486.50 / $4,933.00 / $5,757.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,087.57 / $1,377.69 / $1,873.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,583.18 / $5,349.96 / $7,288.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.10 / $1,568.93 / $2,068.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,100.00 / $1,370.79 / $2,554.17
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,312.28 / $4,933.00 / $5,757.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,290.41 / $1,377.69 / $2,193.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.98 / $910.74 / $1,496.97
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
$1,373.70 / $1,651.93 / $2,060.55