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Wyoming rates for HCPCS 52301

Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.77 / $286.77 / $286.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.00 / $672.00 / $840.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.36 / $479.51 / $680.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,607.00 / $2,607.00 / $10,877.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.40 / $742.85 / $1,147.08