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Oklahoma rates for HCPCS 52300

Cysto W/Rescj/Fulg Orthopic Ureterocele Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,218.00 / $8,400.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,450.57 / $8,614.95 / $13,717.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.32 / $694.00 / $5,962.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.00 / $2,900.00 / $5,543.93