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Maine rates for HCPCS 52318

Litholapaxy Comp/Lg > 2.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$605.28 / $13,225.21 / $13,225.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.20 / $605.29 / $717.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.54 / $631.07 / $954.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.86 / $699.75 / $1,002.51
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.16 / $668.63 / $1,025.71
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,225.21 / $13,225.21 / $13,225.21
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.20 / $605.28 / $862.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.11 / $698.64 / $922.94