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West Virginia rates for HCPCS 52204

Cystourethroscopy, with biopsy(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,637.08 / $4,418.00 / $6,314.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.79 / $301.86 / $438.36
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.27 / $165.44 / $180.25
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.22 / $160.22 / $160.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.35 / $239.35 / $239.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.22 / $405.56 / $972.86
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,713.10 / $5,391.71 / $9,098.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.66 / $455.18 / $1,017.30