go back

Michigan rates for HCPCS 58542

Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.33 / $5,757.00 / $18,813.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,923.56 / $12,751.08 / $17,370.48
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,011.36 / $5,757.00 / $18,183.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,635.00 / $9,143.00 / $12,767.00