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Louisiana rates for HCPCS 52301

Cysto W/Resecj Ectopic Ureterocele Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$455.99 / $1,850.00 / $3,945.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.27 / $455.99 / $490.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,868.82 / $4,897.88 / $7,118.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.97 / $406.40 / $530.54
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.61 / $373.53 / $501.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.00 / $2,415.00 / $6,585.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.17 / $382.54 / $611.62