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Maryland rates for HCPCS 58752

Tubouterine Implantation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.71 / $771.47 / $4,746.89
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,034.01 / $1,034.01 / $1,323.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$834.60 / $1,201.50 / $2,341.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$941.90 / $1,252.73 / $2,026.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$787.63 / $1,082.95 / $1,975.97
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,083.19 / $1,203.08 / $1,336.77