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Virginia rates for HCPCS 52325

Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or electro-hydraulic technique)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.66 / $5,636.00 / $12,089.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,153.00 / $7,363.00 / $9,410.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.83 / $359.81 / $443.76
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.09 / $446.31 / $630.23
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.56 / $438.27 / $3,512.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,349.00 / $7,061.00 / $12,739.00