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Michigan rates for HCPCS 58920

Wedge resection or bisection of ovary, unilateral or bilateral

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 / $724.44 / $1,348.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $676.08 / $1,071.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $1,071.52 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $776.25 / $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 / $812.83 / $1,122.02
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $776.25 / $1,122.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $6,918.31 / $15,135.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $912.01 / $1,174.90