go back

Massachusetts rates for HCPCS 52265

Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $2,691.53 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $371.54 / $1,047.13
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $1,862.09 / $6,025.60
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $416.87 / $1,122.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $186.21 / $436.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $478.63 / $1,071.52
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $380.19 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $407.38 / $660.69
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $2,511.89 / $7,079.46
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $407.38 / $891.25
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $1,737.80 / $1,737.80
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $1,949.84 / $6,025.60
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $416.87 / $1,122.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $2,511.89 / $6,918.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $436.52 / $977.24