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Maryland rates for HCPCS 52287

Cystourethroscopy, with injection(s) for chemodenervation of the bladder

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $912.01 / $1,905.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $380.19 / $1,122.02
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $177.83 / $218.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,023.29 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $363.08 / $776.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $446.68 / $707.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $707.95 / $707.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $323.59 / $630.96
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $501.19 / $602.56