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Pennsylvania rates for HCPCS 52320

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$348.10 / $4,264.00 / $8,451.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,092.00 / $7,463.00 / $11,048.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.55 / $4,422.20 / $9,331.54
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.58 / $4,570.59 / $9,562.10
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.15 / $237.15 / $400.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.00 / $2,824.00 / $5,678.00