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Maine rates for HCPCS 58120

Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.54 / $1,755.43 / $3,245.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.03 / $240.79 / $433.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.32 / $313.60 / $454.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.17 / $417.24 / $657.55
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.60 / $368.51 / $573.40
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.94 / $1,755.43 / $3,482.75
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.37 / $285.04 / $470.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.01 / $357.27 / $602.42