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Indiana rates for HCPCS 52310

Cysto W/Simple Removal Stone & Stent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.15 / $3,042.22 / $9,229.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.06 / $257.18 / $435.26
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.16 / $258.16 / $258.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,234.00 / $5,126.00 / $8,240.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.98 / $259.36 / $600.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.94 / $178.02 / $212.26
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.75 / $312.51 / $407.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,286.40 / $1,286.40 / $1,286.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.68 / $307.06 / $603.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,400.00 / $3,870.00 / $5,490.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.48 / $325.39 / $545.95