go back

Washington rates for HCPCS 52351

Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$381.40 / $8,369.76 / $18,711.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$190.70 / $325.05 / $434.51
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$76.28 / $130.02 / $173.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.07 / $381.40 / $864.90
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,555.74 / $9,879.37 / $25,560.89
Asuris Northwest Health
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$4,280.30 / $7,119.48 / $7,119.48
Asuris Northwest Health
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$1,070.08 / $1,779.87 / $1,779.87
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.07 / $694.75 / $2,853.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,353.44 / $2,353.44 / $3,920.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.85 / $610.58 / $898.53
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.77 / $716.35 / $6,254.64
Kaiser Permanente
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$6,254.64 / $8,287.44 / $15,048.64
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.84 / $670.40 / $2,641.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.98 / $537.18 / $879.90
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$443.21 / $582.97 / $599.98
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$396.83 / $408.10 / $1,470.05
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.92 / $680.73 / $837.01
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,079.47 / $9,873.73 / $18,898.13
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.71 / $586.62 / $790.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,550.00 / $2,431.00 / $11,261.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.24 / $567.45 / $860.77