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Alaska rates for HCPCS 52287

Cystourethroscopy, with injection(s) for chemodenervation of the bladder

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $2,041.74 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $389.05 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $588.84 / $1,122.02
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $489.78 / $3,630.78
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $912.01 / $2,344.23
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,096.48 / $1,995.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $794.33 / $2,344.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $234.42 / $1,122.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $794.33 / $1,445.44