go back

South Carolina rates for HCPCS 52325

Cysto Fragmentation Ureteral Stone

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$387.59 / $9,062.00 / $18,276.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,251.80 / $5,867.32 / $10,114.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.00 / $3,208.42 / $4,122.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.44 / $436.18 / $748.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$791.00 / $10,257.00 / $16,249.00