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Michigan rates for HCPCS 58520

Hysterorrhaphy Repair Rupt Uterus Nonobstetrical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.39 / $4,933.00 / $5,757.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.56 / $954.39 / $994.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,883.50 / $4,533.22 / $6,175.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.33 / $831.90 / $1,316.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.75 / $872.00 / $1,642.57
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$862.11 / $4,933.00 / $5,757.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$862.11 / $906.09 / $1,253.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.78 / $659.31 / $988.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,906.00 / $4,645.00 / $6,327.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.28 / $1,022.25 / $1,344.07