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Maine rates for HCPCS 52005

Cysto Bladder W/Ureteral Catheterization

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.19 / $5,505.73 / $7,870.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.66 / $255.19 / $418.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.88 / $271.01 / $445.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.92 / $309.89 / $548.90
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.06 / $315.13 / $545.80
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,115.30 / $5,505.73 / $7,870.94
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.34 / $245.73 / $447.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.44 / $375.94 / $616.42