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Indiana rates for HCPCS 52001

Cysto W/Irrig & Evac Multple Obstructing Clots

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.50 / $1,386.00 / $7,300.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.50 / $411.22 / $573.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,266.00 / $5,570.00 / $13,810.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.06 / $519.94 / $847.92
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.50 / $335.83 / $541.77
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.01 / $437.01 / $570.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,218.40 / $2,218.40 / $2,218.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.02 / $452.34 / $831.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,400.00 / $3,870.00 / $5,490.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.16 / $472.02 / $770.09