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Arkansas rates for HCPCS 52214

Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $1,288.25 / $2,454.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $588.84 / $933.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $190.55 / $263.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $3,235.94 / $4,466.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $234.42 / $977.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $2,570.40 / $2,570.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $446.68 / $1,288.25
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $302.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $2,137.96 / $7,079.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $436.52 / $1,288.25