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Idaho rates for HCPCS 52301

Cysto W/Resecj Ectopic Ureterocele Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,897.00 / $4,500.00 / $7,761.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.16 / $373.64 / $653.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.54 / $496.44 / $554.24
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$324.98 / $582.76 / $692.32
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.00 / $486.82 / $556.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $402.09 / $505.85
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,399.76 / $8,522.07 / $10,689.08
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.33 / $437.33 / $539.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,550.00 / $12,152.00 / $12,233.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.83 / $391.06 / $617.90