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Maine rates for HCPCS 58671

Laparoscopy W/Plmt Occlusion Device Oviducts

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.36 / $374.10 / $405.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.60 / $489.60 / $715.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.03 / $561.15 / $807.05
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
$326.36 / $374.10 / $412.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.16 / $542.03 / $743.89