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Maine rates for HCPCS 58555

Hysteroscopy, diagnostic (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $7,762.47 / $9,120.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $316.23 / $707.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $288.40 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $331.13 / $660.69
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $380.19 / $616.60
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $7,762.47 / $9,120.11
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $316.23 / $724.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $309.03 / $630.96