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Alaska rates for HCPCS 52300

Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,872.00 / $8,303.41 / $13,413.92
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$352.09 / $1,314.60 / $1,879.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$352.09 / $1,314.60 / $1,879.88