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Michigan rates for HCPCS 58670

Laparoscopy, surgical; with fulguration of oviducts (with or without transection)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $4,897.79 / $12,022.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $407.38 / $707.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $346.74 / $389.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $562.34 / $562.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $562.34 / $588.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $407.38 / $616.60
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $4,073.80 / $8,317.64
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $446.68 / $691.83
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $398.11 / $588.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $9,120.11 / $15,848.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $467.74 / $602.56