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Missouri rates for HCPCS 52301

Cysto W/Resecj Ectopic Ureterocele Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.00 / $4,261.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.79 / $326.69 / $333.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$770.00 / $1,581.00 / $3,523.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.77 / $380.91 / $565.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.34 / $421.01 / $758.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.93 / $546.60 / $10,868.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.58 / $525.29 / $2,135.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,644.00 / $2,874.00 / $5,813.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.05 / $451.83 / $802.35