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Maine rates for HCPCS 58540

Hysteroplasty Rpr Uterine Anomaly

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$908.51 / $928.93 / $1,417.93
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
$1,013.49 / $1,217.15 / $1,758.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,079.74 / $1,311.05 / $1,989.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,021.66 / $1,315.81 / $2,018.52
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$908.51 / $928.93 / $999.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$979.18 / $1,307.01 / $1,823.05