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New York 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
$673.97 / $4,029.00 / $9,038.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,283.00 / $5,160.00 / $11,809.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.10 / $1,990.00 / $8,917.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$542.75 / $542.75 / $5,246.94
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $811.56 / $1,470.40
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$542.75 / $597.00 / $8,498.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,031.00 / $4,840.00 / $9,202.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.24 / $616.24 / $1,830.09