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Maine rates for HCPCS 58546

Laps Myomectomy Exc 5/> Myomas >250 Grams

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,135.91 / $1,135.91 / $1,135.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,002.05 / $1,135.91 / $1,777.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,246.46 / $1,474.67 / $2,130.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,360.34 / $1,590.33 / $2,404.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,239.02 / $1,595.76 / $2,447.98
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,126.33 / $1,135.91 / $2,045.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,252.13 / $1,565.49 / $2,204.19