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Michigan rates for HCPCS 59425

Antepartum care only; 4-6 visits

Facilitymedian $661 · 10th–90th $389–$4,7860%20%10th90th$661Professionalmedian $603 · 10th–90th $380–$1,2020%10%10th90th$603$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $524.81 / $660.69
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $602.56 / $1,288.25
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $562.34 / $707.95
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $912.01 / $1,071.52
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $389.05 / $389.05
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,288.25 / $1,288.25 / $1,288.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $501.19 / $758.58
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $1,949.84 / $2,290.87
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $660.69 / $1,096.48
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $467.74 / $724.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $2,630.27 / $6,025.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $512.86 / $741.31