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Tennessee rates for HCPCS 52204

Cystourethroscopy, with biopsy(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.41 / $2,003.33 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.75 / $376.81 / $618.05
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.61 / $127.61 / $127.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,610.00 / $2,800.00 / $3,710.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.91 / $339.12 / $678.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.35 / $342.54 / $724.24
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$654.52 / $688.61 / $16,394.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,610.89 / $3,502.01 / $3,607.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,695.00 / $3,616.00 / $6,285.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.55 / $546.34 / $875.52