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Wisconsin 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
$263.03 / $630.96 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $537.03 / $1,047.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $7,943.28 / $13,182.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $891.25 / $2,344.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $1,905.46 / $3,019.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $933.25 / $2,187.76
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $891.25 / $4,168.69
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $870.96 / $1,621.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $1,148.15 / $8,317.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $1,288.25 / $9,120.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $776.25
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $851.14 / $1,995.26
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $9,332.54 / $9,332.54
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $1,202.26 / $9,332.54
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,995.26 / $3,630.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $7,413.10 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $776.25 / $2,137.96