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Louisiana 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
$432.24 / $1,520.00 / $3,728.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.11 / $464.86 / $745.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,755.43 / $3,550.01 / $5,433.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.46 / $524.24 / $758.05
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.48 / $457.53 / $726.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.00 / $2,415.00 / $6,585.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.58 / $600.26 / $930.14