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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
$223.87 / $223.87 / $933.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $489.78 / $1,258.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $407.38 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $380.19 / $1,621.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $812.83 / $1,412.54
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $691.83 / $1,548.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $588.84 / $1,479.11