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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
$442.63 / $2,311.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.96 / $371.30 / $574.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,610.00 / $2,800.00 / $3,710.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.76 / $346.55 / $677.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.01 / $365.13 / $714.57
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $788.26 / $788.26
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,332.00 / $3,365.44 / $3,466.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$695.00 / $1,560.00 / $2,914.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.03 / $553.40 / $845.27