go back

Alaska rates for HCPCS 52001

Cystourethroscopy with irrigation and evacuation of multiple obstructing clots

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,251.02 / $7,340.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.08 / $1,346.84 / $1,978.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$996.13 / $996.13 / $1,361.28
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.01 / $1,885.58 / $2,769.86
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.18 / $1,787.10 / $2,911.54
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,143.45 / $1,656.00 / $2,287.64
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.01 / $1,885.58 / $2,769.86
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.75 / $1,542.90 / $2,287.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$996.08 / $1,633.53 / $2,290.98