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Maine rates for HCPCS 58822

Drainage Ovarian Abscess Abdominal Approach

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.47 / $720.47 / $775.37
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
$780.91 / $938.02 / $1,372.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$769.06 / $1,022.26 / $1,553.56
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.89 / $1,026.32 / $1,574.42
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.47 / $720.47 / $775.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$789.18 / $1,140.58 / $1,425.04