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Maine rates for HCPCS 58760

Fimbrioplasty

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$830.52 / $830.52 / $877.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,268.63 / $22,395.57 / $25,253.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$904.29 / $1,086.23 / $1,573.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$997.16 / $1,173.38 / $1,781.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$914.27 / $1,177.50 / $1,806.35
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$830.52 / $830.52 / $877.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$910.97 / $1,180.46 / $1,632.69