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Maine rates for HCPCS 53855

Insertion of a temporary prostatic urethral stent, including urethral measurement

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $204.17 / $1,047.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $190.55 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $758.58 / $1,202.26
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $794.33 / $1,258.93
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $218.78 / $1,230.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $602.56 / $1,348.96