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Idaho rates for HCPCS 52287

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $1,949.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $371.54 / $870.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $2,398.83 / $5,248.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $575.44 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $346.74 / $660.69
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $537.03 / $2,344.23
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $354.81 / $724.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $4,570.88 / $6,456.54
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $323.59 / $645.65
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $338.84 / $1,949.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $6,165.95 / $7,762.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $346.74 / $602.56