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Maine rates for HCPCS 58290

Vaginal Hysterectomy Uterus > 250 Gm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,151.19 / $1,169.38 / $1,266.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,284.30 / $1,524.85 / $2,202.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,405.77 / $1,643.65 / $2,490.60
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,280.50 / $1,649.18 / $2,529.92
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,151.19 / $1,169.38 / $1,266.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,233.00 / $1,704.21 / $2,516.00