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Tennessee rates for HCPCS 52265

Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $2,398.83 / $7,585.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $346.74 / $616.60
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $354.81 / $354.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $2,951.21 / $3,801.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $398.11 / $794.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $302.00 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $363.08 / $707.95
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $2,951.21 / $2,951.21
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,467.37 / $3,467.37 / $3,467.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,445.44 / $2,884.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $346.74 / $741.31