go back

South Carolina rates for HCPCS 52330

Cysto Manj W/O Rmvl Ureteral Stone

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.66 / $1,335.26 / $9,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.20 / $599.25 / $1,043.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,220.94 / $5,823.68 / $10,114.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.91 / $522.28 / $995.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.00 / $2,106.17 / $2,706.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.79 / $615.41 / $1,486.23
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.66 / $634.65 / $1,424.64
Medcost
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$510.00 / $1,291.50 / $3,072.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.21 / $1,863.46 / $2,252.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.43 / $678.18 / $1,043.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$791.00 / $10,257.00 / $16,249.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.61 / $810.63 / $1,971.43