go back

Michigan rates for HCPCS 58552

Laparoscopy, surgical, with vaginal 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
$1,218.53 / $6,853.00 / $19,238.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,943.29 / $10,439.51 / $14,221.48
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,169.79 / $6,853.00 / $19,238.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,354.00 / $11,152.00 / $19,376.00