go back

Arizona 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
$2,073.00 / $4,528.00 / $8,239.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,820.00 / $6,087.00 / $9,025.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.45 / $3,377.49 / $5,113.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,645.45 / $4,645.45 / $4,645.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.79 / $557.30 / $7,168.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,613.00 / $6,477.00 / $9,010.00