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Maine rates for HCPCS 52351

Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $6,760.83 / $14,125.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $380.19 / $977.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $457.09 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $407.38 / $660.69
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $407.38 / $602.56
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $5,128.61 / $12,302.69
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $389.05 / $1,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $426.58 / $645.65