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Michigan rates for HCPCS 58671

Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $4,897.79 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $398.11 / $707.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $346.74 / $346.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $346.74 / $562.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $562.34 / $602.56
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
$446.68 / $4,073.80 / $6,760.83
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $446.68 / $645.65
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 / $457.09 / $602.56