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Maine rates for HCPCS 58555

Hysteroscopy, diagnostic (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,664.20 / $9,097.15 / $9,097.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.47 / $245.19 / $444.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.48 / $288.02 / $516.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.91 / $322.85 / $653.27
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.38 / $376.60 / $652.29
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,664.20 / $4,565.13 / $9,097.15
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.47 / $279.16 / $449.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.61 / $437.60 / $732.14