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South 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
$569.89 / $4,357.50 / $9,062.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.72 / $463.43 / $934.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,339.08 / $5,954.04 / $10,114.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.07 / $489.00 / $706.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.00 / $1,221.33 / $1,569.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.52 / $540.41 / $935.42
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.79 / $575.69 / $951.79
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,080.58 / $1,174.21 / $1,286.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.78 / $527.53 / $816.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,507.74 / $10,069.00 / $16,249.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.65 / $634.01 / $1,221.70