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Michigan rates for HCPCS 58750

Tubotubal anastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,085.11 / $4,933.00 / $5,757.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.05 / $1,085.11 / $1,130.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,465.93 / $5,213.10 / $7,101.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.60 / $1,516.04 / $2,146.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$808.70 / $995.46 / $1,870.34
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$948.09 / $4,933.00 / $5,757.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$948.09 / $1,033.44 / $1,564.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.78 / $750.66 / $1,152.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,296.00 / $7,849.00 / $9,202.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.93 / $1,204.17 / $1,581.38