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Washington, DC rates for HCPCS 52301

Cysto W/Resecj Ectopic Ureterocele Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $4,100.00 / $6,456.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.01 / $303.01 / $303.01
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.22 / $342.76 / $4,930.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.77 / $427.51 / $962.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.70 / $638.27 / $638.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,832.00 / $2,343.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.05 / $443.95 / $739.54