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Maine rates for HCPCS 58345

Transcerv Fallopian Tube Cath W/Wo Hystosalping

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.61 / $289.61 / $303.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.99 / $376.53 / $555.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.38 / $413.46 / $628.63
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.89 / $415.87 / $637.97
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.61 / $289.61 / $303.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.43 / $381.10 / $577.01