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Maine 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
$2,754.23 / $2,754.23 / $2,754.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $363.08 / $660.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $331.13 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $354.81 / $707.95
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $426.58 / $660.69
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $2,754.23 / $2,754.23
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $407.38 / $645.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $371.54 / $707.95