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Virginia 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
$542.44 / $5,087.00 / $8,920.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,032.00 / $6,548.00 / $7,221.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.51 / $543.01 / $669.71
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.61 / $665.73 / $992.67
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.32 / $659.28 / $4,071.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,349.00 / $7,061.00 / $12,739.00