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Texas 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
$746.13 / $3,219.00 / $10,836.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,167.91 / $4,588.18 / $8,300.99
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$421.21 / $421.21 / $421.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,376.10 / $2,376.10 / $2,376.10
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,388.90 / $26,542.00 / $26,542.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$469.76 / $654.92 / $1,145.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$469.76 / $660.85 / $1,283.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,154.00 / $3,314.00 / $7,600.00