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Kentucky rates for HCPCS 52301

Cysto W/Resecj Ectopic Ureterocele Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$284.83 / $637.00 / $8,229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.83 / $293.70 / $521.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,775.00 / $4,026.00 / $10,277.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.44 / $324.08 / $432.70
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.94 / $373.25 / $430.58
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.61 / $373.25 / $533.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.77 / $327.50 / $327.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.82 / $413.65 / $634.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.00 / $2,723.00 / $6,295.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.60 / $407.90 / $568.76