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Missouri rates for HCPCS 52204

Cystourethroscopy, with biopsy(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$429.50 / $2,945.00 / $5,691.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.94 / $347.54 / $670.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$770.00 / $1,581.00 / $3,523.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.37 / $304.39 / $649.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.32 / $336.95 / $739.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.94 / $498.63 / $4,332.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.66 / $782.58 / $3,502.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,644.00 / $2,874.00 / $5,813.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.95 / $570.19 / $960.31