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Michigan rates for HCPCS 58570

Laparoscopy W Total Hysterectomy Uterus 250 Gm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.97 / $5,757.00 / $20,598.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,817.85 / $10,277.51 / $13,924.39
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$973.57 / $5,757.00 / $20,598.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,700.00 / $10,359.00 / $12,767.00