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Washington rates for HCPCS 52287

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

Facilitymedian $933 · 10th–90th $309–$9,7720%5%10th90th$933Professionalmedian $380 · 10th–90th $166–$1,0000%10%10th90th$380$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $3,019.95 / $13,803.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $354.81 / $977.24
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $295.12 / $794.33
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $5,370.32 / $10,964.78
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $478.63 / $912.01
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $2,290.87 / $2,290.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $457.09 / $1,096.48
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $512.86 / $2,344.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $457.09 / $1,148.15
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $64.57
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $691.83 / $724.44
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $537.03 / $537.03
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $537.03 / $954.99
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,715.35 / $5,623.41 / $10,964.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $478.63 / $912.01
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $6,606.93 / $12,022.64
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $426.58 / $891.25
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $302.00 / $524.81