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North Carolina 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
$436.52 / $2,089.30 / $7,244.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $478.63 / $1,122.02
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $549.54 / $616.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $741.31 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $588.84 / $933.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $467.74 / $912.01
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $891.25 / $1,230.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $7,244.36 / $10,471.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $457.09 / $851.14
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $5,495.41 / $28,840.32
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.89 / $4,897.79 / $4,897.79