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Missouri rates for HCPCS 52001

Cysto W/Irrig & Evac Multple Obstructing Clots

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.22 / $3,034.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.52 / $403.69 / $1,123.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$770.00 / $1,581.00 / $3,523.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.14 / $418.52 / $649.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.51 / $524.40 / $931.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.58 / $605.58 / $2,783.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.90 / $856.51 / $3,263.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,216.00 / $2,332.00 / $3,071.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.11 / $558.29 / $952.78