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Michigan rates for HCPCS 59150

Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$946.10 / $4,933.00 / $6,906.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.34 / $836.06 / $954.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,366.83 / $5,097.41 / $6,944.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.75 / $836.68 / $1,326.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$709.87 / $803.09 / $1,574.92
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$846.93 / $4,933.00 / $6,906.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.80 / $858.93 / $1,262.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.98 / $473.35 / $890.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,635.00 / $10,141.70 / $15,441.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$853.81 / $986.98 / $1,293.07