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Michigan rates for HCPCS 58575

Laparoscopy, surgical, total hysterectomy for resection of malignancy (tumor debulking), with omentectomy including salpingo-oophorectomy, unilateral or bilateral, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,291.78 / $2,387.26 / $4,933.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,784.79 / $10,238.98 / $13,872.19
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,927.55 / $2,387.26 / $4,933.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,296.00 / $7,849.00 / $9,202.00