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Michigan rates for HCPCS 58573

Laparoscopy Tot Hysterectomy >250 G W/Tube/Ovar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,899.12 / $10,855.99 / $26,533.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,939.12 / $13,936.56 / $18,985.41
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,154.46 / $1,558.52 / $1,714.67
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,507.24 / $7,800.09 / $30,097.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $10,359.00 / $12,767.00