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Minnesota 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
$256.32 / $462.12 / $2,525.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.32 / $431.54 / $689.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,635.84 / $4,344.30 / $7,238.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.83 / $901.59 / $1,651.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,165.69 / $1,653.10 / $3,976.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.04 / $1,116.46 / $1,907.77
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$947.62 / $1,511.33 / $3,131.30
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.54 / $964.67 / $1,793.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$406.64 / $742.97 / $4,746.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.98 / $1,297.99 / $2,314.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,735.00 / $4,974.00 / $8,812.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.98 / $1,124.61 / $1,883.36