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Maine rates for HCPCS 51040

Cystostomy, cystotomy with drainage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.52 / $4,586.04 / $5,160.60
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,586.04 / $4,586.04 / $5,160.60