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Nebraska 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
$1,653.00 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.80 / $436.06 / $1,216.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,896.29 / $5,280.48 / $9,912.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.33 / $510.64 / $886.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.58 / $873.56 / $1,291.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.50 / $741.30 / $3,032.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.72 / $1,076.99 / $4,764.99
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$621.44 / $949.22 / $1,813.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.62 / $829.05 / $1,262.25
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $857.00 / $1,244.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,597.12 / $5,356.00 / $7,934.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.66 / $1,023.16 / $1,126.33