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Alaska rates for HCPCS 52315

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $7,079.46 / $14,125.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $457.09 / $1,288.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $954.99 / $1,479.11
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $588.84 / $2,089.30
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $1,318.26 / $3,090.30
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,698.24 / $2,454.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $1,288.25 / $2,951.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $380.19 / $1,479.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,202.26 / $2,290.87