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Wisconsin rates for HCPCS 52400

Cystourethroscopy with incision, fulguration, or resection of congenital posterior urethral valves, or congenital obstructive hypertrophic mucosal folds

Facilitymedian $7,586 · 10th–90th $3,981–$11,7490%10%10th90th$7,586Professionalmedian $1,072 · 10th–90th $562–$1,9950%10%10th90th$1,072$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$478.63 / $977.24 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $7,943.28 / $13,182.57
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,445.44 / $2,290.87
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$478.63 / $4,168.69 / $7,413.10
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $5,623.41 / $8,709.64
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $5,754.40 / $7,762.47
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $1,071.52 / $1,995.26
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,309.57 / $9,332.54 / $9,332.54
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,454.71 / $2,454.71 / $2,454.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,897.79 / $7,585.78 / $9,120.11