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Michigan rates for HCPCS 58660

Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.02 / $4,933.00 / $9,588.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,935.74 / $6,928.79 / $9,438.92
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.85 / $4,933.00 / $8,060.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $10,359.00 / $12,767.00