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Maine rates for HCPCS 58674

Laps Abltj Uterine Fibroids W/Intraop Us Gdn

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.10 / $828.10 / $1,256.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$907.05 / $1,078.05 / $1,557.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,020.00 / $1,116.68 / $1,759.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.12 / $1,167.01 / $1,790.25
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.10 / $828.10 / $921.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$886.81 / $1,209.05 / $1,614.21