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Maine rates for HCPCS 58661

Laparoscopy W/Rmvl Adnexal Structures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,103.42 / $6,603.11 / $15,168.21
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,528.96 / $7,368.84 / $9,634.23
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,326.96 / $8,521.52 / $15,971.93
Martin's Point
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,005.73 / $6,714.86 / $11,141.20