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Alaska rates for HCPCS 52204

Cystourethroscopy, with biopsy(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,028.63 / $6,479.00 / $11,709.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.75 / $525.25 / $1,626.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.44 / $487.44 / $1,183.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.57 / $922.94 / $2,277.46
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.54 / $982.96 / $2,369.07
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.65 / $909.84 / $2,110.63
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.57 / $922.94 / $2,277.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.06 / $827.28 / $2,128.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$918.58 / $1,420.14 / $2,112.73