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Maine rates for HCPCS 58292

Vag Hyst > 250 Gm Rmvl Tube&/Ovary W/Rpr Entrcle

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,334.77 / $1,334.77 / $1,421.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,458.93 / $1,735.27 / $2,506.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,601.20 / $1,871.23 / $2,834.73
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,456.39 / $1,875.71 / $2,877.43
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,334.77 / $1,334.77 / $1,421.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,536.68 / $1,829.44 / $2,595.30