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Iowa rates for HCPCS 52301

Cysto W/Resecj Ectopic Ureterocele Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,468.00 / $4,917.20 / $8,042.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.77 / $419.70 / $419.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.91 / $709.68 / $798.58
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.61 / $497.30 / $1,052.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$567.25 / $810.31 / $8,586.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.10 / $680.25 / $2,135.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$509.00 / $874.94 / $3,170.91
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.85 / $625.91 / $874.94
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $502.10 / $706.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $5,732.00 / $8,342.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.18 / $647.50 / $914.67
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.90 / $551.90 / $649.29