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California rates for HCPCS 52204

Cystourethroscopy, with biopsy(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.86 / $6,423.00 / $16,713.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.75 / $438.36 / $1,356.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,143.00 / $5,863.00 / $11,400.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.06 / $435.32 / $1,042.08
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.70 / $100.00 / $7,374.24
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.93 / $342.69 / $721.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,212.60 / $1,433.09 / $3,376.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.69 / $396.61 / $1,115.07
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.63 / $171.67 / $584.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.41 / $364.56 / $666.66
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$654.52 / $688.61 / $16,394.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,610.89 / $3,502.01 / $3,607.07
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.94 / $309.56 / $693.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.18 / $407.30 / $1,035.97
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.61 / $459.61 / $1,289.09
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.00 / $173.25 / $500.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,459.00 / $7,359.00 / $15,471.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.16 / $502.48 / $1,339.80