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Michigan rates for HCPCS 58825

Transposition, ovary(s)

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
$616.60 / $758.58 / $1,096.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $213.80 / $213.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $660.69 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $812.83 / $1,174.90
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $4,073.80 / $5,754.40
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $831.76 / $1,122.02
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $812.83 / $1,122.02
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
$707.95 / $912.01 / $1,174.90