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Idaho rates for HCPCS 52001

Cysto W/Irrig & Evac Multple Obstructing Clots

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,628.00 / $4,500.00 / $7,205.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.14 / $562.16 / $1,006.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.48 / $548.69 / $744.32
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$348.28 / $647.32 / $1,006.48
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.20 / $550.54 / $814.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $583.67 / $734.31
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,965.97 / $8,522.07 / $10,689.08
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.24 / $533.66 / $823.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,450.00 / $6,124.00 / $7,609.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.42 / $545.49 / $865.45