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Arizona rates for HCPCS 52315

Cysto W/Complex Removal Stone & Stent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,582.00 / $3,263.00 / $6,483.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.88 / $449.89 / $1,216.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.35 / $2,197.38 / $3,616.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.69 / $279.08 / $418.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,768.35 / $1,768.35 / $1,768.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.47 / $457.43 / $803.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.45 / $470.60 / $3,339.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.84 / $576.88 / $4,764.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,746.67 / $3,132.00 / $5,133.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.68 / $504.00 / $1,000.22