go back

Arkansas rates for HCPCS 52330

Cysto Manj W/O Rmvl Ureteral Stone

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.83 / $1,218.00 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.20 / $445.54 / $815.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,259.72 / $3,259.72 / $3,911.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.83 / $386.51 / $791.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,575.46 / $2,575.46 / $2,575.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.25 / $493.25 / $1,046.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$980.00 / $1,650.00 / $4,064.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.38 / $894.62 / $1,233.73