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Rhode Island rates for HCPCS 52001

Cysto W/Irrig & Evac Multple Obstructing Clots

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,090.73 / $2,778.87 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.38 / $387.25 / $520.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.44 / $515.15 / $625.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.45 / $580.89 / $854.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,395.00 / $2,384.00 / $5,510.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.32 / $584.45 / $914.34