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Michigan rates for HCPCS 58520

Hysterorrhaphy, repair of ruptured uterus (nonobstetrical)

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
$691.83 / $851.14 / $1,513.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $239.88 / $1,202.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,202.26 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $870.96 / $1,318.26
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $4,897.79 / $6,918.31
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $954.99 / $1,288.25
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $870.96 / $1,288.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $3,890.45 / $6,025.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,023.29 / $1,318.26