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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
$269.15 / $269.15 / $707.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $707.95 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $478.63 / $676.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $2,951.21 / $10,471.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $549.54 / $1,096.48