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Michigan rates for HCPCS 58820

Drainage of ovarian abscess; vaginal approach, open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $4,073.80 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $338.84 / $478.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $758.58 / $758.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $724.44 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $354.81 / $562.34
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $4,073.80 / $5,754.40
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $371.54 / $489.78
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $354.81 / $524.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $5,011.87 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $407.38 / $537.03