go back

Tennessee 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
$758.58 / $2,398.83 / $7,585.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $549.54 / $954.99
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $380.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $4,073.80 / $5,888.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $588.84 / $1,122.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $2,187.76 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $524.81 / $1,096.48
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,332.54 / $9,332.54 / $28,840.32
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,332.54 / $9,332.54 / $9,332.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $3,630.78 / $6,309.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $537.03 / $1,230.27