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Indiana 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
$254.12 / $500.77 / $7,212.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.12 / $417.81 / $588.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,234.00 / $5,126.00 / $8,240.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.54 / $588.63 / $1,106.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.92 / $321.07 / $579.41
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.13 / $468.20 / $610.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,286.40 / $1,286.40 / $1,286.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.58 / $483.96 / $972.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,716.78 / $5,174.00 / $9,243.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.08 / $548.65 / $879.17