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Maine rates for HCPCS 58263

Vag Hyst 250 Gm/< W/Rmvl Tube Ovary W/Rpr Ntrcl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,114.72 / $6,114.72 / $6,114.72
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,114.72 / $6,114.72 / $6,114.72