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Maine rates for HCPCS 52204

Cystourethroscopy, with biopsy(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $3,630.78 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $416.87 / $676.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $295.12 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $309.03 / $758.58
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $436.52 / $691.83
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $3,630.78 / $10,000.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $416.87 / $912.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $363.08 / $724.44