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Maine rates for HCPCS 58542

Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,565.64 / $6,587.06 / $9,862.24
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,565.64 / $8,367.78 / $21,017.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,822.43 / $20,822.43 / $20,822.43