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Michigan rates for HCPCS 58674

Laps Abltj Uterine Fibroids W/Intraop Us Gdn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $4,933.00 / $21,774.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$715.42 / $970.87 / $1,256.05
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$844.06 / $844.06 / $844.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,636.79 / $13,172.64 / $30,430.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.16 / $1,157.63 / $1,645.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.69 / $942.53 / $1,668.52
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$810.55 / $4,933.00 / $11,931.48
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.55 / $844.06 / $1,434.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.87 / $662.82 / $1,008.08
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
$919.19 / $1,082.24 / $1,385.86