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Maryland rates for HCPCS 58291

Vag Hyst > 250 Gm Rmvl Tube&/Ovary

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,321.06 / $4,323.50 / $12,597.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,035.79 / $1,268.72 / $3,224.28
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,378.81 / $1,396.81 / $1,750.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,139.45 / $1,676.22 / $3,201.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.21 / $1,661.79 / $2,774.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,110.51 / $1,543.49 / $2,774.36
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,203.08 / $1,481.44 / $1,828.74