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Alaska rates for HCPCS 52250

Cystourethroscopy with insertion of radioactive substance, with or without biopsy or fulguration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,236.00 / $9,774.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,121.25 / $1,121.25 / $1,571.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$829.32 / $829.32 / $829.32
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.92 / $1,121.25 / $1,603.39
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.95 / $1,493.10 / $1,966.25
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.75 / $1,030.95 / $1,531.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.92 / $1,121.25 / $1,603.39
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.70 / $1,035.00 / $1,543.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.57 / $668.84 / $1,538.33