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Maine rates for HCPCS 58960

Lapt Stg/Restg Ovarian Tubal/Prim Mal 2nd Look

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$925.22 / $978.79 / $997.57
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
$1,114.01 / $1,325.88 / $1,915.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,099.33 / $1,425.37 / $2,153.36
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,116.45 / $1,437.90 / $2,205.81
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.22 / $978.79 / $997.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,061.56 / $1,489.97 / $1,992.47