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Idaho rates for HCPCS 52204

Cystourethroscopy, with biopsy(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$378.95 / $1,033.70 / $5,659.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.99 / $318.45 / $868.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.17 / $269.47 / $668.41
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.06 / $407.43 / $1,111.88
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.70 / $384.38 / $686.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $488.23 / $614.23
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,671.73 / $5,048.97 / $6,186.02
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.32 / $262.36 / $705.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,550.00 / $12,152.00 / $12,233.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.34 / $566.14 / $854.49