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California 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
$2,197.85 / $6,695.00 / $17,902.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,143.00 / $5,944.00 / $13,012.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $8,114.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,091.14 / $2,471.35 / $5,822.29
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.09 / $583.62 / $953.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.60 / $610.28 / $1,104.84
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,753.72 / $9,388.90 / $26,542.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$514.36 / $680.63 / $1,089.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,610.00 / $7,384.00 / $16,148.00