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Michigan rates for HCPCS 58571

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

Facilitymedian $9,550 · 10th–90th $3,802–$22,9090%10%10th90th$9,550$0.5$5.0$50.0$500.0$5.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $9,332.54 / $22,387.21
Aetna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$16,218.10 / $25,118.86 / $25,703.96
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $851.14 / $851.14
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $851.14 / $851.14
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,818.38 / $8,709.64 / $22,387.21
Health Alliance Plan
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$16,218.10 / $16,218.10 / $25,703.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,918.31 / $10,471.29 / $21,877.62