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California rates for HCPCS 52301

Cysto W/Resecj Ectopic Ureterocele Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,669.84 / $6,695.00 / $17,809.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.04 / $315.07 / $1,517.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,143.00 / $5,944.00 / $13,012.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.38 / $462.12 / $881.89
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $7,373.15
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.57 / $320.14 / $792.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,091.14 / $2,471.35 / $5,822.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.48 / $379.59 / $1,151.02
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.55 / $315.06 / $443.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.55 / $367.94 / $647.57
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,055.35 / $9,388.90 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,088.23 / $2,135.52 / $2,376.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.42 / $393.56 / $539.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.48 / $379.59 / $815.19
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$941.76 / $941.76 / $941.76
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.55 / $349.71 / $443.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,610.00 / $7,384.00 / $16,148.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.08 / $359.05 / $964.80