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Maine rates for HCPCS 58976

Gamete Zygote/Embryo Fallopian Transfer Any Meth

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.54 / $228.24 / $265.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.89 / $284.67 / $402.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.86 / $356.48 / $561.79
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.33 / $318.63 / $495.79
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.54 / $228.24 / $265.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.33 / $351.48 / $516.05