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Texas 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
$633.00 / $2,732.45 / $7,542.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.28 / $4,527.81 / $8,845.37
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.56 / $243.56 / $243.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,376.10 / $2,376.10 / $2,376.10
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,388.90 / $16,394.00 / $16,394.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$273.35 / $374.83 / $618.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$273.35 / $383.23 / $702.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,154.00 / $3,314.00 / $7,600.00