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Minnesota 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
$263.03 / $263.03 / $2,454.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $6,606.93 / $15,848.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,000.00 / $2,344.23
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $954.99 / $1,862.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $549.54 / $8,317.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $5,248.07 / $9,120.11