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Michigan rates for HCPCS 58540

Hysteroplasty, repair of uterine anomaly (Strassman type)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,093.58 / $4,933.00 / $6,853.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$799.44 / $985.75 / $1,139.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,161.71 / $4,857.97 / $6,617.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.05 / $1,159.25 / $1,580.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$815.23 / $1,002.81 / $1,884.75
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.56 / $4,933.00 / $6,853.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$911.30 / $954.56 / $1,430.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.78 / $763.16 / $1,164.49
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
$1,006.47 / $1,197.69 / $1,505.56