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Michigan rates for HCPCS 58960

Lapt Stg/Restg Ovarian Tubal/Prim Mal 2nd Look

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,178.68 / $4,933.00 / $6,853.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.78 / $1,069.08 / $1,227.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,534.27 / $5,292.86 / $7,210.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.24 / $985.30 / $1,670.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$886.82 / $1,054.36 / $2,033.24
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$975.34 / $4,933.00 / $6,853.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$975.34 / $1,069.08 / $1,511.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.04 / $756.71 / $1,225.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $10,359.00 / $12,767.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,056.48 / $1,233.22 / $1,605.68