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Oklahoma rates for HCPCS 52315

Cysto W/Complex Removal Stone & Stent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$838.00 / $3,165.00 / $8,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.14 / $525.52 / $534.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,450.57 / $8,614.95 / $13,717.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.34 / $452.90 / $621.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.56 / $466.85 / $672.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.45 / $574.62 / $4,830.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.96 / $680.41 / $4,764.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.00 / $2,839.00 / $5,543.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.42 / $527.20 / $842.56