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Indiana rates for HCPCS 52345

Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $4,897.79 / $11,220.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $13,803.84 / $19,054.61
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $389.05 / $446.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $630.96 / $912.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $6,025.60 / $10,715.19