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Louisiana rates for HCPCS 52001

Cysto W/Irrig & Evac Multple Obstructing Clots

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.74 / $1,319.00 / $3,685.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.26 / $485.88 / $675.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,177.50 / $3,159.81 / $7,118.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.43 / $526.11 / $712.43
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.20 / $460.35 / $679.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.00 / $1,429.00 / $4,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.70 / $547.91 / $842.14