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California 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
$1,465.02 / $6,229.00 / $17,133.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,143.00 / $5,944.00 / $13,012.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $7,373.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,091.14 / $2,471.35 / $5,822.29
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.48 / $304.37 / $430.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.93 / $355.29 / $637.79
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,018.40 / $9,388.90 / $16,394.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.08 / $380.46 / $534.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,459.00 / $7,359.00 / $15,471.00