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Michigan rates for HCPCS 58673

Laparoscopy Salpingostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$947.69 / $4,933.00 / $5,757.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.75 / $947.69 / $987.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,770.68 / $5,568.82 / $7,586.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.83 / $1,269.19 / $1,979.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.99 / $908.96 / $1,627.61
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$840.97 / $4,933.00 / $5,757.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.97 / $901.33 / $1,358.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.66 / $679.97 / $1,020.82
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
$879.97 / $1,067.23 / $1,326.85