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Maine rates for HCPCS 52330

Cysto Manj W/O Rmvl Ureteral Stone

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.99 / $392.62 / $966.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.86 / $531.82 / $904.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.29 / $558.08 / $1,361.71
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.93 / $639.51 / $1,107.67
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.77 / $392.62 / $966.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.73 / $755.79 / $1,274.11