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Maine rates for HCPCS 52204

Cystourethroscopy, with biopsy(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.94 / $1,663.88 / $6,170.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.99 / $270.02 / $556.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.27 / $286.68 / $566.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.37 / $482.26 / $857.70
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.54 / $392.89 / $680.50
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.27 / $3,057.36 / $9,970.15
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.24 / $260.02 / $556.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.83 / $585.58 / $767.39