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Maine rates for HCPCS 58292

Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,513.56 / $2,951.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,819.70 / $2,511.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,698.24 / $2,884.03
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,737.80 / $2,570.40
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,513.56 / $3,715.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,819.70 / $2,884.03