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Virginia rates for HCPCS 52204

Cystourethroscopy With Biopsy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.24 / $2,459.00 / $8,262.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.01 / $329.92 / $685.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.00 / $3,693.00 / $4,290.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.27 / $312.99 / $514.53
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.97 / $222.12 / $3,774.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.38 / $357.34 / $822.85
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.99 / $404.39 / $498.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.05 / $366.50 / $774.29
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.00 / $529.00 / $884.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.94 / $192.08 / $3,512.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.32 / $556.66 / $3,512.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,349.00 / $7,061.00 / $12,739.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.84 / $570.52 / $899.08