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Maine rates for HCPCS 58340

Cath & Saline/Contrast Sonohyster/Hysterosalpi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.22 / $283.32 / $368.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.49 / $113.14 / $237.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.65 / $159.01 / $328.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.84 / $150.90 / $538.87
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.14 / $219.52 / $510.67
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.86 / $264.37 / $688.79
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.13 / $127.85 / $407.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.24 / $199.58 / $494.82