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Wisconsin 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
$392.35 / $796.14 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,344.00 / $10,517.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$995.74 / $1,163.59 / $1,876.84
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.35 / $542.08 / $2,290.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.35 / $2,290.11 / $8,783.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.35 / $542.08 / $2,290.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.20 / $1,172.32 / $1,598.98
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,952.05 / $11,952.05 / $11,952.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.00 / $6,477.00 / $8,384.00