go back

Iowa 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
$416.87 / $3,981.07 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $331.13 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $676.08 / $812.83
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $501.19 / $1,318.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $2,951.21 / $9,332.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $588.84 / $2,137.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $691.83 / $1,047.13
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $758.58 / $758.58
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $549.54 / $707.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $6,456.54 / $9,332.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $489.78 / $912.01
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $645.65