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New York 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
$393.05 / $3,582.00 / $8,907.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,283.00 / $5,160.00 / $11,809.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.22 / $1,716.00 / $6,213.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.97 / $315.97 / $4,612.43
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$289.97 / $470.28 / $760.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,097.83 / $4,419.92 / $4,552.32
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.97 / $597.00 / $8,498.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,031.00 / $4,840.00 / $9,202.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.74 / $357.74 / $986.42