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Maine rates for HCPCS 52310

Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,371.58 / $2,305.84 / $4,183.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.34 / $257.18 / $402.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.30 / $297.97 / $473.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.59 / $321.20 / $581.89
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.31 / $334.75 / $579.80
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,371.58 / $2,554.17 / $8,082.90
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.99 / $275.94 / $419.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.25 / $348.32 / $633.77