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Maine rates for HCPCS 58572

Laparoscopy Total Hysterectomy Uterus >250 Gm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,044.66 / $11,806.41 / $31,470.51
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,141.00 / $11,806.41 / $31,470.51