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Oklahoma rates for HCPCS 52001

Cysto W/Irrig & Evac Multple Obstructing Clots

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$838.00 / $3,218.00 / $8,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.38 / $456.83 / $501.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,464.88 / $8,620.91 / $13,717.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.66 / $380.15 / $570.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.85 / $442.17 / $597.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.87 / $518.05 / $3,486.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.33 / $604.05 / $3,263.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.00 / $1,928.00 / $3,790.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.29 / $450.55 / $723.99