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Arizona rates for HCPCS 52301

Cysto W/Resecj Ectopic Ureterocele Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $3,745.00 / $7,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.36 / $293.20 / $1,517.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.35 / $2,515.38 / $4,140.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.26 / $236.35 / $295.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,049.52 / $3,049.52 / $3,049.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.37 / $359.08 / $636.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.85 / $395.98 / $3,790.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.52 / $343.88 / $2,135.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,343.00 / $3,339.00 / $5,838.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.27 / $318.06 / $555.41