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Maine rates for HCPCS 58520

Hysterorrhaphy Repair Rupt Uterus Nonobstetrical

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$807.79 / $807.79 / $863.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,268.63 / $22,395.57 / $25,253.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$879.46 / $1,056.40 / $1,531.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$897.81 / $1,141.97 / $1,734.77
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.83 / $1,146.03 / $1,758.07
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$807.79 / $807.79 / $863.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$829.66 / $1,167.83 / $1,589.63