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Maine rates for HCPCS 58575

Laparoscopy, surgical, total hysterectomy for resection of malignancy (tumor debulking), with omentectomy including salpingo-oophorectomy, unilateral or bilateral, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,254.79 / $8,914.10 / $8,914.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,409.70 / $26,469.21 / $29,847.38
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,254.79 / $8,254.79 / $8,914.10