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Maine rates for HCPCS 58670

Laparoscopy Fulguration Oviducts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$374.69 / $374.69 / $374.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.68 / $374.70 / $581.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.21 / $489.14 / $715.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.03 / $562.04 / $808.55
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.48 / $535.10 / $820.87
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.68 / $374.70 / $594.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.92 / $508.89 / $743.89