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Alaska rates for HCPCS 52353

Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,236.00 / $8,090.15 / $13,413.92
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$16,448.40 / $16,448.40 / $16,448.40
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$493.18 / $1,840.12 / $2,631.37
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$493.18 / $1,840.12 / $2,631.37