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Kentucky 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
$346.74 / $1,778.28 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $331.13 / $389.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $5,011.87 / $15,848.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $323.59 / $436.52
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $363.08 / $426.58
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $371.54 / $436.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $489.78 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $489.78 / $1,778.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $2,754.23 / $6,309.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $389.05 / $562.34