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Wisconsin 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
$319.00 / $645.82 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,479.00 / $9,096.00 / $15,579.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$807.40 / $943.51 / $1,521.86
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $440.02 / $1,071.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $1,071.63 / $8,783.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $440.02 / $1,071.63
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.20 / $951.51 / $1,300.43
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,302.50 / $14,302.50 / $14,302.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.00 / $6,477.00 / $8,384.00