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Maryland 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
$562.34 / $1,445.44 / $1,698.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $588.84 / $1,380.38
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $275.42 / $338.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $1,737.80 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $562.34 / $1,348.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $724.44 / $1,122.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $1,621.81 / $1,621.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $537.03 / $1,258.93
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $812.83 / $977.24