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Michigan rates for HCPCS 58294

Vaginal hysterectomy, for uterus greater than 250 g; 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
$1,071.52 / $1,318.26 / $2,187.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $363.08 / $1,819.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $1,737.80 / $1,905.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,348.96 / $1,995.26
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $4,897.79 / $6,918.31
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,412.54 / $1,949.84
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,348.96 / $1,949.84
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
$1,230.27 / $1,513.56 / $1,995.26