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Michigan rates for HCPCS 58662

Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$883.87 / $5,757.00 / $15,894.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,277.92 / $8,536.65 / $20,047.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.70 / $913.55 / $1,005.07
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$883.87 / $5,683.18 / $16,566.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $10,359.00 / $12,767.00