go back

Pennsylvania 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
$594.00 / $2,675.00 / $8,104.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.75 / $534.28 / $826.58
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.25 / $674.99 / $954.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.08 / $512.73 / $1,349.38
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.82 / $896.90 / $919.84
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,440.53 / $6,440.53 / $6,440.53
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.00 / $2,605.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.50 / $544.97 / $1,263.22
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $925.00 / $1,642.20
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.93 / $516.92 / $1,349.38
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.70 / $253.74 / $914.63
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.70 / $573.25 / $626.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.00 / $2,824.00 / $5,678.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.04 / $786.67 / $1,390.79