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Maine rates for HCPCS 58558

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$876.60 / $5,681.57 / $12,261.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.55 / $323.77 / $1,619.55
Aetna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$47.11 / $57.68 / $284.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.35 / $445.59 / $1,919.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.99 / $493.79 / $2,424.94
Community Health Options
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,824.00 / $3,824.00 / $3,824.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.07 / $659.82 / $2,393.64
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$932.73 / $5,783.52 / $12,946.69
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.55 / $368.93 / $1,639.60
Martin's Point
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$47.11 / $57.68 / $284.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.57 / $614.55 / $2,697.37