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Arizona rates for HCPCS 52400

Cystourethroscopy with incision, fulguration, or resection of congenital posterior urethral valves, or congenital obstructive hypertrophic mucosal folds

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $3,745.00 / $7,467.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.35 / $2,515.38 / $4,140.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,049.52 / $3,049.52 / $3,049.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.03 / $669.62 / $3,790.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,343.00 / $3,339.00 / $5,838.00