go back

Utah rates for HCPCS 52204

Cystourethroscopy With Biopsy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.03 / $3,038.00 / $4,626.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.75 / $420.47 / $815.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.22 / $444.84 / $688.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.85 / $314.75 / $406.16
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,962.05 / $3,861.91 / $5,627.91
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.59 / $324.49 / $754.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $3,613.00 / $7,048.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.01 / $473.81 / $792.54