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Maine rates for HCPCS 52214

Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.24 / $225.24 / $941.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.24 / $331.91 / $941.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.79 / $364.37 / $1,110.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.89 / $938.18 / $1,848.43
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.34 / $494.38 / $1,360.38
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.24 / $319.62 / $1,106.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.45 / $1,083.41 / $1,551.76