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North Carolina rates for HCPCS 52301

Cysto W/Resecj Ectopic Ureterocele Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.69 / $1,338.00 / $8,413.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.69 / $280.69 / $498.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.79 / $678.00 / $833.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.28 / $484.41 / $798.69
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.69 / $403.27 / $711.07
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.27 / $403.27 / $712.62
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $492.10 / $706.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,526.00 / $7,659.00 / $10,502.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.27 / $390.12 / $861.79
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,055.35 / $9,388.90 / $26,542.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,088.23 / $2,088.23 / $2,376.38