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Pennsylvania rates for HCPCS 52204

Cystourethroscopy, with biopsy(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.00 / $2,780.36 / $7,367.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.59 / $329.92 / $633.52
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.89 / $254.89 / $638.09
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,800.00 / $5,951.00 / $8,887.00
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.69 / $356.66 / $356.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.04 / $355.27 / $701.76
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.28 / $551.66 / $568.14
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,377.35 / $4,409.59 / $10,086.53
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.62 / $2,842.00 / $7,374.16
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.84 / $341.62 / $847.24
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $352.40 / $1,040.40
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.62 / $356.66 / $724.90
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.87 / $299.05 / $745.63
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.87 / $359.25 / $393.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.00 / $2,824.00 / $5,678.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.31 / $490.23 / $797.53