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Ohio rates for HCPCS 52301

Cysto W/Resecj Ectopic Ureterocele Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.23 / $5,355.00 / $10,817.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.85 / $286.64 / $785.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.00 / $3,576.00 / $14,996.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.99 / $346.59 / $568.17
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.86 / $326.23 / $403.78
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.05 / $299.05 / $329.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.26 / $395.50 / $588.24
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.86 / $417.31 / $568.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.16 / $359.77 / $478.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,233.00 / $4,383.00 / $6,522.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.83 / $367.01 / $638.67