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Michigan rates for HCPCS 58554

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,554.52 / $6,853.00 / $30,850.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,683.03 / $11,303.02 / $15,397.81
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,382.11 / $5,960.20 / $16,686.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,750.00 / $10,359.00 / $12,767.00