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Maine rates for HCPCS 51535

Cystotomy for excision, incision, or repair of ureterocele

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $954.99 / $1,737.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,202.26 / $1,584.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,047.13 / $1,698.24
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,071.52 / $1,548.82
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,023.29 / $2,454.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,096.48 / $1,698.24