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Maine rates for HCPCS 58565

Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent implants

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $1,445.44 / $2,454.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $933.25 / $2,454.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $1,023.29 / $3,090.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $1,949.84 / $3,090.30
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $1,479.11 / $4,466.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $1,698.24 / $3,235.94