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Maine rates for HCPCS 58920

Wedge Rescj/Bisctj Ovary Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.14 / $721.17 / $755.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$782.88 / $940.39 / $1,370.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$847.42 / $1,021.69 / $1,552.58
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.15 / $1,025.36 / $1,572.97
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.14 / $721.17 / $785.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$746.38 / $1,117.90 / $1,572.97