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Wisconsin rates for HCPCS 52320

Cystourethroscopy W/Rmvl Ureteral Calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.42 / $498.08 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,344.00 / $10,517.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$622.66 / $727.64 / $1,173.66
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.42 / $338.76 / $1,536.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.42 / $1,536.00 / $8,783.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.42 / $356.35 / $1,536.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.80 / $734.71 / $1,000.47
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,388.90 / $9,388.90 / $9,388.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.00 / $6,477.00 / $8,384.00