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Maine rates for HCPCS 52315

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.19 / $417.81 / $595.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.14 / $514.41 / $707.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.62 / $581.61 / $866.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.53 / $554.50 / $866.51
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.19 / $417.81 / $595.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.04 / $592.62 / $947.89