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Texas 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
$509.87 / $2,496.00 / $7,316.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.29 / $431.54 / $600.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,627.85 / $2,834.48 / $5,863.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.45 / $429.51 / $705.17
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$545.00 / $2,075.35 / $5,461.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.92 / $238.92 / $238.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,377.85 / $1,377.85 / $1,377.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.69 / $497.42 / $819.57
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,323.07 / $16,394.00 / $16,394.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,314.00 / $3,769.05 / $4,922.22
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.92 / $500.92 / $962.36
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.29 / $489.74 / $786.60
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$976.10 / $976.10 / $976.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.12 / $507.02 / $986.94
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.19 / $504.07 / $881.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,154.00 / $3,226.00 / $7,600.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.98 / $503.23 / $814.76
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.97 / $421.99 / $591.41