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Maine rates for HCPCS 53420

Urtp 2-Stg Rcnstj/Rpr Prostat/Urethra 1st Stage

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,079.00 / $1,079.00 / $1,181.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,015.29 / $1,119.69 / $1,717.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.44 / $1,258.00 / $1,802.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.90 / $1,202.78 / $1,845.13
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$928.01 / $1,079.00 / $1,181.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$858.38 / $1,209.33 / $1,666.01