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Maine rates for HCPCS 52000

Cystourethroscopy (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $1,047.13 / $4,466.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $263.03 / $602.56
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$147.91 / $147.91 / $363.08
Aetna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$134.90 / $134.90 / $134.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $186.21 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $257.04 / $426.58
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $251.19 / $407.38
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $741.31 / $4,466.84
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $257.04 / $575.44
Martin's Point
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$147.91 / $147.91 / $363.08
Martin's Point
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$134.90 / $134.90 / $134.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $204.17 / $416.87