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FINAL_ProcedListRev_Insurance Procedure List COVER Letter 3/24/11 4:38 PM Page 1

METROPOLITAN LITHOTRIPTOR ASSOCIATES, P.C. Management services provided by ALLIED UROLOGICAL SERVICES, LLC

March 25, 2011 Dear Doctor:

Metropolitan Lithotriptor Associates, PC is pleased to announce that we have successfully renegotiated our contract with

AETNA HEALTH Our new AETNA agreement allows all MetroLitho urologists to perform Laser Prostatectomy (and many other urological surgical procedures including Lithotripsy) on their AETNA patients at any of MetroLitho’s nine AAAHC-accredited locations.

We are also pleased to provide you with the updated

2011 HEALTH PLAN COVERAGE AND PROCEDURE LIST (SEE ATTACHED)

We hope this list allows you to arrange your surgical schedule more efficiently and effectively in 2011. You can always find the most updated version of this List along with a lot of other helpful information and resources on our new-look website at www.AlliedMetroMedical.com

WWW.ALLIEDMETROMEDICAL.COM


METROPOLITAN LITHOTRIPTOR ASSOCIATES, P.C.

HEALTH PLAN COVERAGE AND PROCEDURE LIST March 2011 Issue Health Plan

Lithotripsy CPT 50590

Laser Prostatectomy CPT 52648

Female Sling Procedure CPT 57288

Bladder Fulguration CPT 52224

Aetna

Anthem BCBS

Beechstreet

Cigna (GreatWest)

Empire BCBS

Fidelis Health NY

GHI (Emblem)

HIP (Emblem)

Healthnet

Island Group Administrators Local 1199

Local 3

Local 6

Local 456

Magnacare

Multiplan

National Health Admin.

NY State Empire Plan

Oxford Health Plans

PHCS

POMCO

United Healthcare

Interstim Nerve Test/PNE CPT 64561 TM

TUNA/Prostiva

Targis /Prolieve

CPT 53852

CPT 53850

TM

TM

®

 

Please call Metro Litho at (877) ALLIED-0 concerning any health plan — even if the health plan is not listed above — since many health plans use outside provider networks. WWW.ALLIEDMETROMEDICAL.COM


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