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Minnesota 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
$269.15 / $269.15 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $323.59 / $549.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $6,606.93 / $15,848.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $630.96 / $1,023.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,023.29 / $2,454.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $870.96 / $1,318.26
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $977.24 / $1,905.46
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $741.31 / $1,122.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $575.44 / $8,317.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $588.84 / $1,258.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $5,248.07 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $588.84 / $1,122.02