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New Hampshire rates for HCPCS 52204

Cystourethroscopy, with biopsy(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $1,819.70 / $6,025.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $389.05 / $1,000.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $199.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $1,737.80 / $3,019.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $354.81 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $416.87 / $1,071.52
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $9,549.93 / $9,549.93
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $398.11 / $891.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $9,549.93 / $9,549.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $426.58 / $1,047.13