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Texas rates for HCPCS 52204

Cystourethroscopy, with biopsy(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $2,818.38 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $346.74 / $676.08
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $125.89 / $257.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $2,884.03 / $5,754.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $302.00 / $524.81
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $2,238.72 / $4,466.84
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $363.08
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $1,737.80 / $1,737.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,380.38 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $354.81 / $707.95
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $28,840.32 / $28,840.32
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,630.78 / $3,630.78 / $3,630.78
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $512.86 / $3,890.45
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $380.19 / $676.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $114.82
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $741.31 / $1,047.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $354.81 / $831.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $363.08 / $707.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $4,073.80 / $8,709.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $288.40 / $645.65
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $354.81 / $354.81