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Michigan rates for HCPCS 58545

Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal of surface myomas

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,119.68 / $5,757.00 / $12,835.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,793.30 / $16,100.93 / $21,933.89
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,074.89 / $5,757.00 / $12,835.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,069.00 / $8,847.00 / $10,652.00