go back

Wyoming rates for HCPCS 52330

Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.74 / $260.74 / $631.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.00 / $635.00 / $1,477.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.39 / $619.19 / $1,140.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,607.00 / $2,607.00 / $10,877.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,027.97 / $1,645.88 / $2,592.21