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Maine rates for HCPCS 58152

Tot Abd Hyst W/Wo Rmvl Tube Ovary W/Colpurethrxy

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