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Michigan rates for HCPCS 58752

Tubouterine Implantation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,082.53 / $4,933.00 / $5,757.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.71 / $1,082.53 / $1,127.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,226.92 / $4,926.63 / $6,674.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.03 / $944.76 / $2,344.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.40 / $992.98 / $1,865.60
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$859.04 / $4,933.00 / $5,757.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$859.04 / $987.66 / $1,430.67
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
$971.47 / $1,183.53 / $1,490.33