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Maine rates for HCPCS 52330

Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $562.34 / $954.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $537.03 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $575.44 / $1,122.02
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $660.69 / $1,148.15
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $660.69 / $1,148.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $616.60 / $1,230.27