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Maine rates for HCPCS 51800

Cystoplasty or cystourethroplasty, plastic operation on bladder and/or vesical neck (anterior Y-plasty, vesical fundus resection), any procedure, with or without wedge resection of posterior vesical neck

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,335.78 / $1,335.78 / $1,503.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,783.47 / $23,063.27 / $26,006.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,251.40 / $1,384.55 / $2,117.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,251.92 / $1,550.04 / $2,220.69
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,151.63 / $1,483.20 / $2,275.32
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,335.78 / $1,335.78 / $1,503.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,115.86 / $1,545.48 / $2,060.64