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Wisconsin 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
$162.18 / $389.05 / $3,090.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $346.74 / $691.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $4,570.88 / $7,079.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $602.56 / $1,479.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,174.90 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $575.44 / $1,348.96
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $524.81 / $4,168.69
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $537.03 / $1,023.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $691.83 / $4,466.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $741.31 / $3,388.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $478.63
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $524.81 / $1,202.26
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $2,951.21 / $2,951.21
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $758.58 / $3,467.37
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,737.80 / $2,238.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $2,884.03 / $5,011.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $501.19 / $1,412.54