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Virginia rates for HCPCS 52001

Cystourethroscopy with irrigation and evacuation of multiple obstructing clots

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $1,737.80 / $7,079.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $436.52 / $758.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $6,760.83 / $7,413.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $457.09 / $707.95
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $467.74 / $5,495.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $436.52 / $776.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $512.86 / $1,288.25
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $676.08 / $1,023.29
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $489.78 / $741.31
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $389.05 / $4,073.80
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $562.34 / $4,073.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $3,467.37 / $5,888.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $436.52 / $724.44