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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
$105.80 / $114.86 / $1,041.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.66 / $165.46 / $1,056.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.89 / $757.24 / $1,327.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.16 / $231.02 / $1,192.97
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.80 / $114.86 / $1,041.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.69 / $1,047.65 / $1,354.73