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Maine rates for HCPCS 58670

Laparoscopy, surgical; with fulguration of oviducts (with or without transection)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $371.54 / $371.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $407.38 / $660.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $501.19 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $512.86 / $831.76
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $501.19 / $741.31
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $436.52 / $977.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $512.86 / $812.83