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Washington 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
$865.02 / $7,489.85 / $18,800.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,968.10 / $9,879.37 / $25,560.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,353.44 / $2,353.44 / $3,920.80
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$586.09 / $1,095.31 / $6,254.64
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$708.41 / $923.26 / $953.58
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$631.03 / $650.30 / $1,470.05
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,079.47 / $9,873.73 / $18,898.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,550.00 / $2,431.00 / $11,261.00