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Maine rates for HCPCS 58563

Hysteroscopy Endometrial Ablation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.94 / $6,732.54 / $10,521.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.95 / $467.10 / $2,557.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.91 / $472.56 / $2,915.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.81 / $2,293.84 / $4,959.93
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.38 / $699.75 / $3,786.09
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$290.73 / $6,773.20 / $17,971.62
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.94 / $449.80 / $2,589.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,683.86 / $2,367.64 / $4,284.31