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Michigan rates for HCPCS 58760

Fimbrioplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $4,897.79 / $5,754.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $812.83 / $1,148.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $1,862.09 / $1,862.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,862.09 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $891.25 / $1,348.96
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $4,897.79 / $6,918.31
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $954.99 / $1,258.93
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $891.25 / $1,288.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $4,786.30 / $8,709.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,023.29 / $1,348.96