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Michigan rates for HCPCS 58958

Resection Recrt Mal W/Omentectomy Pel Lmphadec

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,978.07 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,401.19 / $1,978.07 / $2,060.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,219.28 / $9,594.37 / $13,070.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.00 / $1,470.40 / $2,648.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,465.55 / $1,897.13 / $3,401.01
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,750.51 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,750.51 / $1,833.84 / $2,523.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.81 / $1,346.17 / $2,061.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,906.00 / $4,645.00 / $6,327.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,816.39 / $2,179.67 / $2,914.31