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Maryland 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
$1,586.65 / $1,586.65 / $4,011.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.19 / $485.93 / $1,345.97
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.38 / $298.05 / $379.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,012.19 / $1,012.19 / $1,012.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.02 / $482.86 / $1,066.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.04 / $619.83 / $1,087.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.09 / $581.83 / $1,001.78
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.92 / $535.95 / $663.66