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New York rates for HCPCS 52301

Cysto W/Resecj Ectopic Ureterocele Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$404.88 / $3,996.00 / $9,267.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.79 / $353.38 / $720.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,283.00 / $5,160.00 / $11,809.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.00 / $304.58 / $698.89
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$406.94 / $1,990.00 / $8,917.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.94 / $406.94 / $406.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.50 / $327.50 / $5,246.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.54 / $501.32 / $1,120.53
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.47 / $487.47 / $800.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.98 / $389.22 / $582.49
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.98 / $315.10 / $518.98
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.50 / $597.00 / $8,498.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.98 / $495.98 / $1,040.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,031.00 / $4,840.00 / $9,202.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.08 / $360.41 / $929.29
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$370.70 / $370.70 / $1,030.59
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.98 / $356.96 / $605.48