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Pennsylvania rates for HCPCS 52352

Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,108.04 / $4,800.80 / $10,000.36
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$5,875.28 / $5,875.28 / $6,226.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.33 / $421.07 / $912.59
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,092.00 / $7,463.00 / $11,048.00
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.75 / $558.87 / $831.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.80 / $464.08 / $720.68
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.71 / $538.00 / $538.15
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,674.29 / $7,342.03 / $14,631.59
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$6,353.16 / $6,780.96 / $59,358.72
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$760.00 / $4,977.00 / $10,011.00
Martin's Point
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,830.00 / $5,875.28 / $6,909.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.12 / $492.90 / $1,068.49
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $508.90 / $863.30
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.81 / $467.79 / $811.66
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.19 / $341.19 / $464.66
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.28 / $343.47 / $464.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.00 / $2,824.00 / $5,678.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.09 / $454.82 / $724.42