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Michigan rates for HCPCS 58805

Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); abdominal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.60 / $4,112.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.02 / $464.19 / $529.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,494.90 / $2,912.30 / $3,967.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.58 / $401.50 / $714.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.42 / $454.19 / $880.39
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.81 / $4,112.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.81 / $473.56 / $673.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.75 / $331.17 / $507.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,524.00 / $5,819.00 / $8,339.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.64 / $524.46 / $669.71