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Michigan rates for HCPCS 58976

Gamete Zygote/Embryo Fallopian Transfer Any Meth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.68 / $2,056.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.78 / $263.20 / $318.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$348.66 / $406.99 / $554.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.82 / $219.48 / $351.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.52 / $267.68 / $427.22
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.78 / $2,056.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.78 / $263.20 / $394.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.36 / $276.43 / $398.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.00 / $1,247.00 / $1,844.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.22 / $321.95 / $411.30