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Nebraska rates for HCPCS 52204

Cystourethroscopy, with biopsy(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,175.25 / $4,778.89 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.56 / $352.25 / $820.17
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.29 / $130.29 / $130.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,896.29 / $5,280.48 / $9,912.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.84 / $311.01 / $711.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.98 / $700.83 / $1,095.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.91 / $598.83 / $4,217.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.08 / $886.86 / $3,502.01
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.12 / $867.63 / $1,813.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.41 / $700.83 / $1,019.64
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $383.60 / $1,040.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $6,451.00 / $7,934.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.30 / $842.75 / $969.22