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Michigan rates for HCPCS 58553

Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,338.06 / $4,933.00 / $6,853.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$965.39 / $1,338.06 / $1,393.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,664.76 / $8,947.09 / $12,188.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.26 / $1,164.94 / $2,262.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$987.70 / $1,237.45 / $2,296.52
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,194.99 / $4,933.00 / $6,853.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,194.99 / $1,273.90 / $1,978.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.47 / $830.43 / $1,319.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,750.00 / $10,359.00 / $12,767.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,239.14 / $1,497.88 / $1,869.80