go back

Idaho 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
$1,628.00 / $4,928.93 / $7,205.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.64 / $529.83 / $1,074.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.90 / $524.66 / $812.14
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.08 / $646.22 / $1,074.02
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.45 / $526.60 / $874.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $624.90 / $786.16
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,671.73 / $5,048.97 / $6,186.02
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.80 / $510.75 / $879.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,550.00 / $12,152.00 / $12,233.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.28 / $601.67 / $960.96