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Washington, DC rates for HCPCS 52301

Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $4,073.80 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $309.03 / $933.25
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $2,818.38 / $6,456.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $380.19 / $812.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $275.42 / $645.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $14,454.40 / $26,302.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $363.08 / $707.95