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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
$442.07 / $4,112.00 / $6,782.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.68 / $401.38 / $483.51
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.39 / $192.39 / $192.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,211.49 / $3,748.78 / $5,106.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.65 / $530.79 / $642.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.33 / $406.44 / $762.11
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.47 / $4,112.00 / $5,799.86
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.56 / $421.60 / $643.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.36 / $333.40 / $489.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $10,359.00 / $12,767.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.69 / $477.01 / $605.88