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Delaware 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
$3,949.00 / $3,949.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.23 / $287.73 / $493.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.33 / $469.33 / $713.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.83 / $616.16 / $1,052.43