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Virginia 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
$671.78 / $5,087.00 / $9,539.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,032.00 / $6,548.00 / $7,221.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.49 / $443.39 / $546.85
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.68 / $549.38 / $819.20
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.77 / $541.87 / $4,071.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,349.00 / $7,061.00 / $12,739.00