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Virginia rates for HCPCS 52290

Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.35 / $3,645.00 / $8,920.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.00 / $3,693.00 / $4,290.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.03 / $274.83 / $338.96
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.73 / $340.38 / $474.78
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.00 / $329.80 / $3,512.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,349.00 / $7,061.00 / $12,739.00