go back

Idaho 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
$1,584.89 / $1,621.81 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $588.84 / $1,380.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $3,715.35 / $9,120.11
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,630.27 / $5,128.61 / $13,489.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $933.25 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $537.03 / $1,071.52
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $912.01 / $2,454.71
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $660.69 / $1,230.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,025.60 / $7,762.47 / $11,220.18
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$8,912.51 / $12,882.50 / $16,595.87
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $501.19 / $1,000.00
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $549.54 / $7,244.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $12,302.69 / $12,302.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $602.56 / $1,202.26