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Virginia rates for HCPCS 52320

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.98 / $5,040.00 / $10,637.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,032.00 / $6,548.00 / $7,221.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.42 / $277.70 / $342.50
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.31 / $343.29 / $504.65
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.08 / $336.81 / $3,512.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,349.00 / $7,061.00 / $12,739.00