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Alabama rates for HCPCS 52301

Cysto W/Resecj Ectopic Ureterocele Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$700.00 / $1,399.00 / $2,250.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.70 / $545.78 / $545.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,077.55 / $2,521.19 / $3,391.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.06 / $422.00 / $497.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.18 / $370.30 / $899.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$834.00 / $2,891.00 / $4,402.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.01 / $316.42 / $464.01