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Maine rates for HCPCS 58672

Laparoscopy Fimbrioplasty

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$744.82 / $744.82 / $795.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$815.99 / $968.44 / $1,398.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$918.35 / $1,043.98 / $1,581.89
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.18 / $1,047.30 / $1,606.62
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$744.82 / $744.82 / $795.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$871.84 / $1,075.35 / $1,448.40