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Michigan rates for HCPCS 58565

Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent implants

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$544.16 / $4,112.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.92 / $1,379.84 / $1,993.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,677.04 / $6,626.82 / $9,027.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.07 / $428.58 / $733.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.36 / $1,156.05 / $2,682.82
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,889.93 / $4,112.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.85 / $1,889.93 / $2,600.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $1,253.55 / $1,911.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,069.00 / $8,847.00 / $10,652.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,985.00 / $2,330.04 / $2,974.52