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Maine rates for HCPCS 58553

Laps W/Vaginal Hysterectomy > 250 Grams

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,142.52 / $1,142.52 / $1,224.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,253.56 / $1,483.03 / $2,142.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,368.04 / $1,599.37 / $2,417.80
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,246.06 / $1,604.82 / $2,461.88
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,142.52 / $1,142.52 / $1,224.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,234.82 / $1,638.93 / $2,216.67