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Maine rates for HCPCS 53080

Drainage of perineal urinary extravasation; uncomplicated (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.90 / $538.90 / $619.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.11 / $558.91 / $867.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.41 / $632.16 / $905.69
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.76 / $607.59 / $932.07
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.90 / $538.90 / $619.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.14 / $644.55 / $920.23