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Ohio 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
$581.37 / $3,023.00 / $9,516.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.27 / $564.91 / $1,180.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.00 / $3,576.00 / $14,996.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.52 / $597.35 / $3,269.11
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.03 / $296.44 / $393.71
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.37 / $578.37 / $1,025.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.64 / $512.92 / $999.01
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.99 / $518.76 / $1,061.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.30 / $701.27 / $936.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,233.00 / $4,383.00 / $6,522.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.79 / $761.99 / $1,439.32