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South Carolina rates for HCPCS 52204

Cystourethroscopy With Biopsy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.10 / $5,017.84 / $10,448.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.84 / $375.56 / $724.64
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.49 / $140.49 / $140.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$856.00 / $3,727.07 / $9,543.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.69 / $300.00 / $578.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.00 / $1,221.33 / $1,569.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.50 / $368.00 / $788.02
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.03 / $348.64 / $791.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,080.58 / $1,174.21 / $1,286.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.77 / $411.59 / $634.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$791.00 / $10,257.00 / $16,249.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.89 / $506.60 / $1,054.19