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Maine rates for HCPCS 53621

Dilat Urethral Strix Filiform & Follwr Male Sbsq

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.87 / $103.79 / $178.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.20 / $145.72 / $251.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.10 / $166.05 / $309.89
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.21 / $177.74 / $307.87
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.23 / $103.79 / $178.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.75 / $181.90 / $330.15