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California rates for HCPCS 52353

Cysto W/Ureteroscopy W/Lithotripsy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,305.00 / $9,358.00 / $18,164.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$16,614.00 / $19,258.50 / $23,644.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,143.00 / $6,048.00 / $13,012.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.70 / $100.00 / $10,386.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,185.52 / $3,764.71 / $8,869.33
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.43 / $446.96 / $670.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.69 / $489.23 / $890.10
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,135.21 / $14,302.50 / $26,542.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.95 / $551.32 / $944.99
Sutter Health Plus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,625.00 / $6,625.00 / $6,625.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,799.00 / $12,377.00 / $26,672.00