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Maine rates for HCPCS 58552

Laparoscopy, surgical, with vaginal 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
$1,778.28 / $14,454.40 / $28,183.83
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $14,125.38 / $28,183.83