go back

Maine rates for HCPCS 58152

Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); with colpo-urethrocystopexy (eg, Marshall-Marchetti-Krantz, Burch)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,269.34 / $1,269.34 / $1,344.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,268.63 / $22,395.57 / $25,253.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,402.96 / $1,640.88 / $2,367.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.22 / $1,767.29 / $2,675.55
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,377.15 / $1,773.65 / $2,720.87
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,269.34 / $1,269.34 / $1,349.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,359.07 / $1,881.57 / $2,731.10