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Maine rates for HCPCS 52353

Cysto W/Ureteroscopy W/Lithotripsy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.31 / $3,301.55 / $12,132.11
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$10,810.29 / $10,810.29 / $10,810.29
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.94 / $5,740.80 / $14,225.16
Martin's Point
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$10,810.29 / $10,810.29 / $10,810.29