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Virginia 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
$183.15 / $3,832.00 / $8,920.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.28 / $327.50 / $462.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.00 / $3,693.00 / $4,290.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.72 / $313.69 / $508.16
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.19 / $278.45 / $3,026.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.55 / $374.55 / $800.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.68 / $398.02 / $490.89
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.15 / $359.96 / $703.24
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.00 / $522.00 / $857.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.09 / $218.52 / $1,428.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.27 / $547.79 / $1,428.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,066.00 / $2,341.00 / $4,005.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.83 / $556.40 / $871.95