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Michigan rates for HCPCS 58760

Fimbrioplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$979.69 / $4,933.00 / $5,757.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.17 / $979.69 / $1,020.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,730.56 / $4,354.68 / $5,932.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.38 / $1,229.52 / $1,936.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.75 / $895.87 / $1,687.65
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.53 / $4,933.00 / $5,757.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.53 / $931.36 / $1,375.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.78 / $662.82 / $1,008.08
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
$884.19 / $1,088.50 / $1,343.49