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Arkansas rates for HCPCS 52301

Cysto W/Resecj Ectopic Ureterocele Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$394.29 / $1,397.00 / $4,478.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.18 / $394.29 / $439.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,259.72 / $3,259.72 / $3,911.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.45 / $383.11 / $383.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,575.46 / $2,575.46 / $2,575.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.56 / $502.25 / $544.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$980.00 / $1,650.00 / $4,064.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.45 / $315.08 / $600.04