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Michigan rates for HCPCS 58542

Laps Supracrv Hysterect 250 Gm/< Rmvl Tube/Ovar

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