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Indiana 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
$371.54 / $3,235.94 / $7,244.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $562.34 / $851.14
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $239.88 / $380.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $13,803.84 / $19,054.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $630.96 / $1,737.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $263.03 / $295.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $676.08 / $2,290.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $562.34 / $1,698.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $6,025.60 / $10,715.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $501.19 / $1,230.27