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Maryland rates for HCPCS 52310

Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$423.58 / $1,430.26 / $4,775.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.03 / $350.28 / $952.47
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.44 / $164.95 / $199.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,012.19 / $1,012.19 / $1,012.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.27 / $302.73 / $629.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.56 / $415.70 / $723.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.07 / $342.19 / $604.79
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.79 / $359.44 / $444.36