go back

Maine rates for HCPCS 58267

Vag Hyst 250 Gm/< W/Colpo-Urtcstopexy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,081.24 / $1,081.24 / $1,139.48
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
$1,176.69 / $1,413.44 / $2,049.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,269.58 / $1,528.30 / $2,319.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,190.88 / $1,533.77 / $2,352.88
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,081.24 / $1,081.24 / $1,139.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,221.67 / $1,533.77 / $2,124.73