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Maine rates for HCPCS 53405

Urethroplasty 2nd Stage W/Urinary Diversion

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,119.78 / $1,119.78 / $1,263.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.98 / $1,162.46 / $1,786.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,046.18 / $1,305.54 / $1,870.41
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$971.30 / $1,250.95 / $1,919.02
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,119.78 / $1,119.78 / $1,263.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$878.31 / $1,319.90 / $1,731.49