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Maine rates for HCPCS 58294

Vaginal Hysterectomy >250 Gm Rpr Enterocele

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,238.30 / $1,238.30 / $1,315.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,355.26 / $1,611.57 / $2,327.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,487.55 / $1,737.63 / $2,634.01
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,353.45 / $1,743.12 / $2,674.05
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,238.30 / $1,238.30 / $1,315.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.57 / $1,700.01 / $2,410.34