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Maine rates for HCPCS 58673

Laparoscopy Salpingostomy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$809.06 / $809.06 / $865.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$884.58 / $1,050.76 / $1,517.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$988.39 / $1,132.94 / $1,714.55
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$882.42 / $1,136.49 / $1,743.43
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$809.06 / $809.06 / $865.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$841.75 / $1,120.15 / $1,740.75