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Michigan rates for HCPCS 58292

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

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
$1,148.15 / $1,318.26 / $1,862.09
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $2,398.83 / $2,398.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $1,230.27 / $1,949.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $1,949.84 / $2,041.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,445.44 / $2,137.96
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $4,897.79 / $6,918.31
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,548.82 / $2,041.74
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,445.44 / $2,089.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $7,585.78 / $14,791.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,659.59 / $2,187.76