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Maryland rates for HCPCS 58558

Hysteroscopy Bx Endometrium&/Polypc W/Wo D&C

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.54 / $2,888.56 / $6,296.11
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$165.09 / $165.09 / $982.19
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$66.03 / $66.03 / $392.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.10 / $601.00 / $2,205.46
Aetna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$38.18 / $232.15 / $288.79
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.63 / $266.63 / $363.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,765.51 / $1,765.51 / $1,765.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.65 / $509.41 / $2,443.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,103.99 / $1,675.46 / $3,150.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.02 / $1,348.40 / $2,640.99
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,183.09 / $1,493.63 / $1,837.44