go back

Louisiana rates for HCPCS 52204

Cystourethroscopy With Biopsy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$443.91 / $1,520.00 / $4,050.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.37 / $341.33 / $599.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,746.93 / $3,522.88 / $5,433.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.80 / $276.50 / $596.85
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,650.94 / $1,650.94 / $1,650.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.50 / $249.64 / $573.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.00 / $2,415.00 / $6,585.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.02 / $517.53 / $859.18