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Rhode Island 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
$2,089.30 / $2,754.23 / $3,981.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $4,677.35 / $7,585.78