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Nebraska rates for HCPCS 52204

Cystourethroscopy, with biopsy(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $3,235.94 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $354.81 / $933.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $295.12 / $295.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $5,128.61 / $10,000.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $309.03 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $416.87 / $1,047.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $660.69 / $5,128.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $776.25 / $3,467.37
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $776.25 / $1,096.48
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $776.25
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $416.87 / $1,047.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $4,365.16 / $8,128.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $457.09 / $912.01