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Oklahoma rates for HCPCS 52204

Cystourethroscopy, with biopsy(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $2,754.23 / $7,079.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $331.13 / $602.56
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $117.49 / $151.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $5,495.41 / $8,709.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $371.54 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $354.81 / $588.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $691.83 / $5,128.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $549.54 / $3,467.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $3,235.94 / $5,754.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $275.42 / $616.60