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Alaska rates for HCPCS 52330

Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,662.93 / $7,340.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.38 / $1,236.83 / $2,629.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$916.47 / $916.47 / $1,822.29
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.61 / $1,731.58 / $3,681.87
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$734.35 / $1,798.76 / $3,837.90
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.59 / $1,701.49 / $3,160.41
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.61 / $1,731.58 / $3,681.87
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.24 / $1,462.24 / $3,189.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,457.84 / $2,186.76 / $2,918.79