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Maine rates for HCPCS 52000

Cystourethroscopy (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.23 / $1,137.18 / $3,301.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.23 / $181.44 / $303.83
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$51.62 / $90.72 / $151.91
Aetna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$20.65 / $36.29 / $60.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.58 / $179.02 / $345.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.66 / $257.38 / $426.32
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.52 / $227.24 / $422.67
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.65 / $966.30 / $4,183.14
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.23 / $181.44 / $305.08
Martin's Point
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$51.62 / $90.72 / $151.91
Martin's Point
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$20.65 / $36.29 / $60.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.94 / $1,334.94 / $1,334.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.19 / $282.33 / $488.27