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Michigan rates for HCPCS 58672

Laparoscopy, surgical; with fimbrioplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $4,897.79 / $5,754.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $741.31 / $1,047.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,096.48 / $1,096.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $1,047.13 / $1,621.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $851.14 / $1,202.26
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $4,897.79 / $5,754.40
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $870.96 / $1,202.26
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $831.76 / $1,174.90
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
$741.31 / $933.25 / $1,202.26