go back

Tennessee rates for HCPCS 52351

Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$585.25 / $2,683.00 / $7,493.26
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$737.18 / $4,595.89 / $4,595.89
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$145.25 / $200.78 / $412.82
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$58.10 / $80.31 / $165.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.58 / $373.08 / $840.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,132.00 / $3,728.00 / $5,774.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.14 / $386.54 / $680.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.77 / $427.36 / $660.74
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,103.52 / $9,388.90 / $26,542.00
Lucent Health
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$613.42 / $7,119.48 / $7,119.48
Lucent Health
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$153.36 / $1,779.87 / $1,779.87
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,853.12 / $2,853.12 / $2,853.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,695.00 / $3,616.00 / $6,285.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.38 / $455.60 / $714.84