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Indiana rates for HCPCS 52320

Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.67 / $2,318.00 / $16,042.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,536.00 / $10,284.00 / $16,778.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.13 / $332.91 / $499.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,218.40 / $2,218.40 / $2,218.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,364.00 / $6,094.00 / $10,413.00