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Oklahoma rates for HCPCS 52301

Cysto W/Resecj Ectopic Ureterocele Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,048.00 / $3,779.00 / $12,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.17 / $323.17 / $328.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,450.57 / $8,614.95 / $13,717.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.19 / $390.45 / $478.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.70 / $694.00 / $5,962.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.22 / $380.52 / $2,135.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$880.00 / $2,900.00 / $5,543.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.12 / $331.49 / $529.77