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Washington, DC 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
$1,017.00 / $4,004.00 / $4,601.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.57 / $615.95 / $615.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,832.00 / $2,343.00 / $26,408.00