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Virginia 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
$283.07 / $3,309.00 / $8,582.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.03 / $277.41 / $491.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.00 / $3,693.00 / $4,290.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.83 / $288.01 / $435.82
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.44 / $237.53 / $3,426.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.56 / $298.33 / $530.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.77 / $344.14 / $424.43
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.78 / $309.36 / $518.94
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $350.00 / $590.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.46 / $207.23 / $1,683.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.16 / $382.28 / $1,683.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,911.00 / $3,276.00 / $5,340.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.80 / $392.46 / $629.20