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Delaware rates for HCPCS 52301

Cysto W/Resecj Ectopic Ureterocele Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,736.00 / $6,907.00 / $8,005.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.64 / $291.36 / $291.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.62 / $364.30 / $504.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.52 / $361.74 / $659.15