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Maine rates for HCPCS 52240

Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder tumor(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $6,309.57 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $501.19 / $1,584.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $588.84 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $575.44 / $851.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $524.81 / $776.25
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $5,370.32 / $6,606.93
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $537.03 / $1,778.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $575.44 / $851.14