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Utah 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
$2,089.30 / $5,128.61 / $9,332.54
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$5,128.61 / $5,128.61 / $5,128.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $436.52 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $501.19 / $758.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $977.24
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $6,025.60 / $13,489.63
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$7,585.78 / $8,912.51 / $20,417.38
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $676.08 / $1,862.09
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $724.44 / $1,047.13
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $562.34 / $776.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $5,128.61 / $7,079.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $436.52 / $741.31