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Arkansas rates for HCPCS 52001

Cysto W/Irrig & Evac Multple Obstructing Clots

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.12 / $1,074.00 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.25 / $390.12 / $533.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,259.72 / $3,259.72 / $3,911.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.64 / $421.53 / $581.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,718.94 / $1,718.94 / $1,718.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.47 / $535.82 / $754.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$590.00 / $1,230.00 / $2,539.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.29 / $429.11 / $788.34