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Michigan rates for HCPCS 59130

Tx Ectopic Pregnancy Abdl Pregnancy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,134.43 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.82 / $1,134.43 / $1,143.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,373.20 / $5,104.85 / $6,954.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.42 / $781.95 / $1,586.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$841.85 / $967.20 / $1,882.32
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$827.45 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$827.45 / $968.11 / $1,397.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.76 / $697.69 / $1,141.68
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
$950.97 / $1,151.46 / $1,550.92