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Maryland rates for HCPCS 52001

Cysto W/Irrig & Evac Multple Obstructing Clots

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.04 / $612.99 / $6,662.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.19 / $484.66 / $1,463.54
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.02 / $311.94 / $356.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,745.52 / $1,745.52 / $1,745.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.70 / $459.71 / $958.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.66 / $559.41 / $991.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.80 / $514.11 / $952.42
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.68 / $498.71 / $618.22