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Indiana 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
$199.53 / $933.25 / $7,244.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $489.78 / $1,096.48
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $234.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $8,317.64 / $10,471.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $537.03 / $1,621.81
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $173.78 / $199.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $2,238.72 / $2,238.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $645.65 / $1,778.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $6,025.60 / $10,715.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $489.78 / $1,348.96