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Virginia 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
$494.38 / $2,998.00 / $8,294.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.73 / $481.67 / $728.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.00 / $3,693.00 / $4,290.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.43 / $436.05 / $651.16
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.38 / $429.19 / $3,774.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.70 / $484.20 / $879.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.37 / $514.04 / $633.99
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.45 / $521.52 / $839.88
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.00 / $631.73 / $873.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$282.66 / $374.78 / $3,512.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.85 / $633.66 / $3,512.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,349.00 / $7,061.00 / $12,739.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.25 / $672.74 / $1,011.50