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Maine rates for HCPCS 58800

Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); vaginal approach

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.31 / $327.83 / $500.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.65 / $421.27 / $608.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.43 / $517.17 / $801.45
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.06 / $455.93 / $699.42
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.54 / $327.83 / $500.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.98 / $530.36 / $731.93