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North Carolina 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
$465.09 / $5,724.00 / $7,968.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$465.09 / $684.00 / $1,233.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,526.00 / $7,659.00 / $10,502.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,753.72 / $9,388.90 / $26,542.00