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Missouri 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
$521.87 / $3,351.00 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.29 / $432.28 / $548.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$770.00 / $1,581.00 / $3,523.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.33 / $459.00 / $772.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.51 / $538.05 / $997.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.04 / $633.94 / $4,332.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.08 / $954.00 / $4,764.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,541.66 / $1,981.00 / $5,200.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.27 / $623.04 / $1,162.09