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Minnesota rates for HCPCS 52301

Cysto W/Resecj Ectopic Ureterocele Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.58 / $270.58 / $4,828.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.58 / $289.82 / $419.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$573.37 / $5,677.23 / $12,389.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.64 / $741.63 / $1,041.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$685.60 / $972.27 / $2,338.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.44 / $937.39 / $1,337.37
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557.35 / $888.89 / $1,841.68
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.77 / $839.85 / $1,112.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.82 / $570.20 / $7,770.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.71 / $750.55 / $1,506.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,735.00 / $4,974.00 / $8,812.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.86 / $691.03 / $1,157.25