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Maryland 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
$2,439.41 / $2,439.41 / $2,439.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,745.52 / $1,745.52 / $1,745.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.18 / $377.96 / $606.40