go back

Montana rates for HCPCS 52285

Cystourethroscopy for treatment of the female urethral syndrome with any or all of the following: urethral meatotomy, urethral dilation, internal urethrotomy, lysis of urethrovaginal septal fibrosis, lateral incisions of the bladder neck, and fulguration of polyp(s) of urethra, bladder neck, and/or trigone

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.18 / $314.16 / $1,727.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$304.95 / $304.95 / $304.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.95 / $328.25 / $552.62
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.52 / $519.35 / $540.16
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.38 / $369.78 / $568.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.69 / $546.92 / $971.26