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Minnesota rates for HCPCS 52001

Cysto W/Irrig & Evac Multple Obstructing Clots

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.89 / $429.25 / $2,525.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.89 / $415.54 / $644.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,533.39 / $5,677.23 / $12,389.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.15 / $893.13 / $1,542.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,083.15 / $1,536.04 / $3,695.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.96 / $1,149.32 / $1,811.48
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$880.52 / $1,404.31 / $2,909.58
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.73 / $946.30 / $1,663.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.20 / $633.83 / $3,307.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.99 / $1,155.75 / $2,114.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,296.00 / $3,500.00 / $6,361.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.19 / $1,001.38 / $1,676.97