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Maine rates for HCPCS 58543

Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g;

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.93 / $851.93 / $1,054.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$926.37 / $1,112.75 / $1,615.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,055.42 / $1,204.82 / $1,827.39
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$938.71 / $1,208.98 / $1,854.65
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.93 / $851.93 / $1,054.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,822.43 / $20,822.43 / $20,822.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.70 / $1,275.35 / $1,675.74