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Arkansas rates for HCPCS 52351

Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.60 / $1,472.00 / $4,478.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$199.51 / $205.80 / $234.70
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$79.80 / $82.32 / $93.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.07 / $411.60 / $469.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,259.72 / $3,259.72 / $3,911.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.20 / $399.99 / $399.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,575.46 / $2,575.46 / $2,575.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.72 / $521.73 / $565.45
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.30 / $555.30 / $555.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$980.00 / $1,650.00 / $4,233.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.98 / $330.53 / $583.74